- Trinity Health (Livonia, MI)
- …Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing daily charges for accuracy and ... clean claim submission Responsible for balancing charges and adjustments Maintains...Practical Nurse licensure is required. CHC (Healthcare Compliance Certification) preferred . CHRI certification/membership strongly preferred . Must… more
- State of Colorado (Denver, CO)
- …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more
- EFI Global (Edina, MN)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Herc Rentals (Bonita Springs, FL)
- …for additional assistance beyond the stated warranty period or policy. Create claims from the work orders for those failures following the manufacturers requirements ... Herc. **What you will do ** + Submit warranty claims to multiple manufacturers through the manufacture's website warranty...experience + 1-3 years office experience + Fleet experience preferred + Maintenance experience preferred + Familiarity… more
- EFI Global (Los Angeles, CA)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Elevance Health (Greeneville, TN)
- …background. + Travels to worksite and other locations as necessary. ** Preferred Skills, Capabilities, and Experiences:** + Claims Resolution experience ... action plan implementation and monitoring education, contract questions and non-routine claim issues. + Coordinates communications process on such issues as… more
- Community Health Systems (Franklin, TN)
- …of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (eg, Athena ... Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue...Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding,… more
- Hartford HealthCare (Farmington, CT)
- …Coding experience is required for this position.* *CHONC certification preferred * *_Position Responsibilities:_* *Key Areas of Responsibility* *Coding* 1. Applies ... by the American Health Information Management Association *Issue Resolution* 1. Review claim edits and revise coding/charging as appropriate for specific range of… more
- Intermountain Health (Phoenix, AZ)
- …queues and communicate issues and trends to leadership. Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT ... group, and individual government enrollments for technical and professional fee claim reimbursement. 2. Coordinates all aspects of provider enrollment with… more
- UNUM (Denver, CO)
- …+ Develops high level actions through risk and H&P analysis and claim consultation + Utilizes expertise in Unum services and solutions (implementation, contracts, ... planning and prepares for pre-renewal face to face visit to review claim trend analysis and Integrated Disability Management models to discuss any issues… more