- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... hospital claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... hospital claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- Lithia & Driveway (Jacksonville, FL)
- …they occur. + Check each repair order against the vehicles' service history to avoid processing duplicate claims or submitting claims for shop comebacks. + ... Review and process returned/rejected/adjusted warranty claims , track each claim until its final resolution. + Contact the appropriate warranty claims … more
- Prime Therapeutics (Pierre, SD)
- …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 ... skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication… more
- DriveTime (Mesa, AZ)
- …the total loss process. Starting with the notification of the total loss claim , cancelation of ancillary products, filing Gap with the correct service provider, and ... in gathering all the necessary information pertaining to the claim and documents. Specialists will work with third parties...third parties to obtain updates or changes to insurance claims . All processes should be completed in a timely… more
- Centene Corporation (Frankfort, KY)
- …Complies with all policies and standards **Education/Experience:** Associate's degree and claims processing , billing and/or coding experience preferred. Three ... updates to key provider groups and model contract + Research and identify any processing inaccuracies in claim payments and route to the appropriate site… more
- CVS Health (Hartford, CT)
- … Database (APCD) experience, Audit Command Language (ACL), or SQL; knowledge of claim processing , claim quality audit program, patient management, and/or ... and within a team. Responsibilities include review of All Payers Claim Database (APCD) state regulations, review of compliance interpretation, writing business… more
- Commonwealth of Pennsylvania (PA)
- …online systems via a PC terminal, ensuring accuracy and efficiency in processing . The position requires the ability to independently address inquiries and concerns ... applied and properly documented whenever a fee waiver is required for processing customer transactions, adhering strictly to the Fee Waiver Guidelines. Compliance… 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 that best describes your claim . + A. I have experience answering inquiries and… 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