- Molina Healthcare (Carson City, NV)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Hartford HealthCare (Farmington, CT)
- …they pertain to billing processes and procedures . Knowledge of insurance claim processing and third-party reimbursement . Knowledge and detailed understanding ... efforts to review and resolve issues related to insurance claim denials, no response claims and payment...related to insurance claim denials, no response claims and payment variances including underpayments and overpayments. Averages… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors.… more
- Cardinal Health (Doral, FL)
- …GED or equivalent work experience, preferred + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, ... Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances… more
- Avera (Sioux Falls, SD)
- …to ensure timely claims processing .) Identifies the need to rebill claims through account review and completes claim refiling as well as submits ... . + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers. + Communicates with internal and external… more
- SSM Health (MO)
- …+ Processes the insurance component of a patient's obligation using the third party claims processing and payment rules. Bills claims appropriately. + ... Duties may include one or more of the following: processing insurance payments, following up on denied claims...by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to… more
- SSM Health (Madison, WI)
- …+ Processes the insurance component of a patient's obligation using the third party claims processing and payment rules. Bills claims appropriately. + ... Duties may include one or more of the following: processing insurance payments, following up on denied claims...by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to… 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
- 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
- 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 ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the "Level of Performance" which best describes your claim . + I have experience verbally answering inquiries and… more