- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- Covenant Health Inc. (Knoxville, TN)
- …codes, modifiers, charging units, physician's NPI, and HCPCS/CPT codes, to facilitate claims processing in a timely manner. Identifies trends and investigates ... knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This...for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately… more
- MyFlorida (Tallahassee, FL)
- …and other expense of vendors. Responsible for the overall maintenance of the claims information contained in the assigned claim files, including the accuracy ... of the claims information and reserves in the division's data processing system. This includes proper data coding into the system and accurate verification.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system** **Handles Paper claims processing including proper documentation of accounts with higher level of ... Epic Billing System.** **Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims... claim edit work queue(s) daily and resubmit claims through the Epic billing system** **Works higher level… more
- UNUM (Portland, ME)
- …The Benefits Coordinator (BC) role is accountable for managing a block of claims for payment, settlement, and/or triaging depending on area of specialty. BCs have ... responsibility for understanding the current situation with the claims and activities for which they are responsible. This will be done through file reviews; ongoing… more
- Community Health Systems (Birmingham, AL)
- …II is responsible for managing complex billing functions, ensuring timely and accurate claims processing , and resolving issues related to insurance payments and ... and standards. **Qualifications** + 2-4 years of experience in medical billing, insurance claims processing , or revenue cycle management required + 1-3 years in… more
- UPMC (Pittsburgh, PA)
- …precision and efficiency, contributing to the overall accuracy and integrity of our claims processing operations. This position will work a hybrid structure, ... join our dynamic team. This role is responsible for processing medical claim adjustments and resolving discrepancies...+ High school diploma or equivalent. + Two years claims processing experience required. + Ability to… more
- Raphael and Associates (Rutherford, NJ)
- …the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning ... adjuster and supervisor. + Set adjuster diaries with new claim notifications and necessary actions. + Claims ...new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate and send acknowledgement letters… more
- Robert Half Accountemps (Tampa, FL)
- …and necessary documents from funeral home partners to expedite claim processing . * Investigate delays in insurance claims and provide solutions with ... will play a vital role in ensuring timely insurance claim processing and maintaining strong relationships with...support as needed. Requirements * Previous experience in insurance, claims processing , or customer service is preferred.… more
- City of Jacksonville (Jacksonville, FL)
- …of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience ... laws, rules, and regulations. + Knowledge of complex workers' compensation claims processing practices and procedures involving lost time, disability,… more