- CenterWell (Tucker, GA)
- …HCHB and computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all ... team at the branch to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's mandatory HIPAA / Privacy… more
- Independent Health (Buffalo, NY)
- …experience required. Experience in a healthcare related or social services setting preferred . + Desire to positively impact our members' health coverage experience ... include, but are not limited to: + Benefit, eligibility, provider billing and complex claim inquiries. + ID card requests. + PCP Assignment and provider searches. +… more
- Novant Health (Salisbury, NC)
- …resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Resolves work queue errors ... patients and staff for billing and insurance questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution process. + Enters… more
- Robert Half Finance & Accounting (Asbury Park, NJ)
- …meet client service requests or provide automated information. * Assist clients with claim submissions, coordinate with adjustors and agency staff, and follow up on ... claims to facilitate resolution. * Prepare insurance summaries, schedules,...the insurance industry or a related field is highly preferred . * Strong problem-solving skills and the ability to… more
- Centene Corporation (Queens, NY)
- …Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes + Educate providers regarding policies and procedures ... related to referrals and claims submission, web site usage, EDI solicitation and related...degree in related field or equivalent experience. **Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or… more
- Novant Health (Bolivia, NC)
- …resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Resolves work queue errors ... and staff for billing and insurance questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution process. Responds to… more
- Pacific Aviation (San Francisco, CA)
- …passengers at check-in counters, arrival areas, and gates with baggage-related inquiries, claims , and service needs + File and update reports for delayed, damaged, ... transfer procedures, and safety protocols are upheld + Respond to baggage claim escalations in a calm and solutions-focused manner + Maintain documentation accuracy… more
- UHS (Binghamton, NY)
- …vital role, you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims , ... of experience in acute/tertiary facility. + Minimum Required: NYS Licensed Registered Nurse Preferred : + Bachelor's of Science in Nursing with three (3) years of… more
- CVS Health (Arlington, VA)
- …member's level of work capacity and related restrictions/limitations. + Reviews prior claims to address potential impact on current case management and eligibility. ... presentscases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
- AdventHealth (Apopka, FL)
- …and adherence, prepares medications for pharmacist review/check, performs claim adjudication and processes customer (patient) account reconciliation. Facilitates ... + Trains new hires to the department on prescription data entry, claims adjudication and patient record management processes, offering ongoing support Qualifications… more