- Access Dubuque (Dubuque, IA)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims ...Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to… more
- VetsEZ (PA)
- …care teams, payers, and providers to improve how patients experience care, how claims are processed, and how care coordination is managed across the continuum. By ... we enable smarter decisions, seamless patient engagement, and more efficient claims management. Together, we are shaping a healthcare ecosystem that delivers… more
- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing , or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Community Health Systems (Franklin, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing , or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Robert Half Accountemps (Minneapolis, MN)
- …* Coordinate resolutions with insurance carriers to reconcile discrepancies and streamline claim processing . * Process refunds and adjustments for insurance and ... contract position, you will play a key role in ensuring accurate claim management, resolving payment discrepancies, and maintaining compliance standards. This role… more
- Highmark Health (Denver, CO)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly… more
- Sanford Health (MN)
- …ensure the completion of the claim . Accurately and completely follows claim through entire billing process. Ensures all claims consistently meet compliance ... to work accounts throughout the entire revenue cycle. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more
- CCMS & Associates (Knoxville, TN)
- …effectively with adjusters, insurers, and repair facilities to ensure seamless claims processing . + Maintain professional, customer-focused interactions with ... costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and ... case for clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to… more
- Albany Medical Center (Albany, NY)
- …all payor appeals for claim denied erroneously Validate timely resolution of claim errors Validate timely and accurate refund processing Daily monitoring of ... follow up on all outstanding claims Validate timely submission of...all third party payor and federal and state government claim submission regulation Monthly review of chargemaster CPT, HCPCS… more