- Bluestone Physician Services (Stillwater, MN)
- …Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. This includes but is not ... with experience. Responsibilities : + Review and resolve all claims errors before claim is submitted for payment + Review and effectively troubleshoot… more
- ICW Group (San Diego, CA)
- …or claim . + Understands the rules behind different types of claims per bureau specifications. + Updates claim information for non-compensable, subrogation, ... purpose of this job is to manage the monthly processing of unit statistical data to the Workers' Compensation...multiple departments and outside agencies. + Works closely with Claims department regarding claim rules and coding.… more
- UPMC (Pittsburgh, PA)
- …As a Document Process Specialist, you'll be at the front line of our claims intake process-ensuring that every paper claim and piece of correspondence entering ... in health insurance operations-all while contributing to the timely resolution of claims . You'll be responsible for accurately entering and validating high volumes… more
- Commonwealth of Pennsylvania (PA)
- …position. Failure to provide complete and accurate information may delay the processing of your application, or result in a lower-than-deserved score or ... of PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have experience monitoring inventory levels including requisitioning… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... position. Failure to provide complete and accurate information may delay the processing of your application, or result in a lower-than-deserved score or… more
- Saint Francis Health System (Tulsa, OK)
- …Hospital Billing/Professional Billing (HB/PB) and associated claims tools (eg, Claim Edit Work Queues (WQs), Remittance Processing , and Correspondence WQs). ... Receivable resolution for both professional and hospital services. Ensures accurate and timely claim submission and remittance processing using Epic Resolute… more
- WellSense (NH)
- …accordance with the plan's policies and procedures + Identify system changes impacting claims processing and work internally on resolution + Identify systematic ... Enrollment and Clinical Services to effectively identify and resolve claim issues. This individual will also work closely with...for potential configuration related work + Analyze trends in claims processing and assist in identifying and… more
- Community Health Systems (La Follette, TN)
- …experience in understanding the minimum requirements needed for Medicare billing, medical claims processing , or hospital revenue cycle operations required + ... and electronic health records (EHR). + Knowledge of Medicare regulations and claim processing requirements. + Strong organizational and analytical skills with… more
- Molina Healthcare (Omaha, NE)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- AIG (Jeffersonville, IN)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... your job will be to perform assessments on multiple aspects of a claim journey. Assessments could include evaluating execution of standard operating procedures, … more