- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... working with insurance plans and understanding of claim adjudication processes. Non-Bargaining Unit, E01 - Partner MSO...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …timely and compliant payment for services. + Review, document and communicate any claim processing or related changes initiated by payor organizations. + Work ... payor organizations, external business or clients ensuring timely payment. + Complete claim denial management functions to ensure timely follow-up with denied … more
- Rochester Regional Health (Rochester, NY)
- …and authorization details. + Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate . ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim ...billing and processing program claims for accuracy and completeness; submit claims … more
- Martin's Point Health Care (Portland, ME)
- …waste, and abuse investigatory techniques and strategies + Solid understanding of standard claims processing systems, operations, and claims data analysis + ... trends, root causes, and process improvement opportunities related to claim inaccuracies. + Partner with Claims , Provider...related to claim inaccuracies. + Partner with Claims , Provider Relations, Finance, Compliance, and IT teams to… more
- Covenant Health Inc. (Knoxville, TN)
- …for analyzing, determining corrections, investigating cause, and leading actions to resolve claim processing issues. Uses CMS resources and source documentation ... + Maintains knowledge and understanding of CMS NCCI Policies, Claims Processing Manual, CPT coding, and modifiers...in a timely manner to allow correction prior to claim processing . + Performs departmental monitoring to… more
- Commonwealth of Pennsylvania (PA)
- …including data entry, customer service, scanning, imaging, filing, answering phones, and processing mail and voice mail. Job duties are carried out under the ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved… more
- Community Health Systems (Birmingham, AL)
- …roles. **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and accurate ... standards. **Qualifications** + 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required **Knowledge, Skills… more
- Commonwealth of Pennsylvania (PA)
- …describes your claim . + A. I have experience reviewing and processing identity documents and credentials by accessing various tools, systems and databases. I ... and identity theft. You will also be responsible for processing test results and applications, issuing driver licenses and...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Kansas Surgery & Recovery Center (Wichita, KS)
- …Billing Representative + Assist the Patient Financial Services Manager in setting up claims processing and follow-up processes. + Become the Subject Matter ... date on billing regulations, insurance policies, and hospital procedures + Resolve claim discrepancies and errors as presented through claims scrubber software… more