- Robert Half Accountemps (Rochester, NY)
- …to a dynamic healthcare environment by managing billing operations and ensuring accurate claim processing . The ideal candidate will bring expertise in accounting ... understanding of medical billing procedures. Responsibilities: * Process and submit claims to insurance providers efficiently and accurately. * Manage accounts… more
- Huron Consulting Group (Van Buren, AR)
- …+ Previous experience in claims , RMC Actions, Late Charge/Replacement Claim Processing , Self-Pay Workflows and Denial Management **Position Level** ... HB applications, workflow design and Work Queues (follow-up, billing claim edit, denials, etc.) + Experience with Billing Edits...denials, etc.) + Experience with Billing Edits - DNB, Claim Edits, Stop Bills as well as billing activities… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …as an information resource to employees regarding benefit provisions, enrollment, premiums, claims processing , etc. Works with employees and carriers to resolve ... issues pertaining to plan provisions, enrollment, claims processing , denied claims , etc. + Input?s benefits enrollment data into Human Capital Management… more
- Molina Healthcare (Cleveland, OH)
- …claims and claim configuration teams to streamline adjudication and resolve claim processing issues + Familiar with payment integrity and other cost ... recovery processes + Direct PM experience in Managed Care Operations ( claims , system configuration, provider data management preferred) + Demonstrated ability to… more
- Robert Half Accountemps (Irvine, CA)
- …payments * Work with insurance companies to resolve discrepancies and ensure proper claim processing * Respond to patient and insurance company inquiries ... accounts to identify outstanding balances * Conduct daily follow-up on outstanding claims and patient accounts via phone calls, emails, and written correspondence *… more
- Corewell Health (Caledonia, MI)
- …AR trends and issues. Identify and trouble shoot issues that impact claim processing delays. + Demonstrates professional communication, including verbal and ... Job Summary Processes inpatient and outpatient claims to insurance companies, employers and patients. Follows...portfolio and take appropriate action to ensure compliant, timely claim resolution. + Ensures payer and governmental agency regulatory… more
- CVS Health (Phoenix, AZ)
- …experience in PBM or pharmacy. -2+ years experience in PBM or pharmacy claim processing systems. -Familiarity with current CMS Medicare Part-D compliance ... of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review… more
- Commonwealth of Pennsylvania (PA)
- …position, the Clerical Assistant 2 will be responsible for managing the processing and distribution of all incoming and outgoing US Mail, interdepartmental mail, ... 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 . + A. I have experience sorting, filing, and… more
- Corewell Health (Grand Rapids, MI)
- …leader's questions and concerns regarding leaves. Provides appropriate codes and processing for payroll functions. Essential Functions + Administers and coordinates ... integrated claims management involving Short Term Disability (STD), Long Term...Investigates and follows up on abnormal activities with a claim . + Serves as a liaison between treatment providers,… more
- M&T Bank (Getzville, NY)
- …execute day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration of properties that ... might occur in the near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal. Provide additional documentation as… more