- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …CMS and AHCA regulatory requirements + Expertise in FWA, Special Investigations and claims processing + Outstanding research and investigative skills + Proven ... with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans… more
- MyFlorida (Kissimmee, FL)
- …plan reviews, utility work schedule reviews, alternative contracting development, claim analysis and negotiations, establishing contract time, reviewing Critical ... Path Method (CPM) schedules, contractor pre-bid questions, supplemental agreement processing , contractor sublet review and approvals, Construction Quality Assurance… more
- Fairview Health Services (Minneapolis, MN)
- …databases such as Inmar. + Research common third party and health plan claim processing information to ensure accuracy in reporting using payer portal ... financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison… more
- Sedgwick (Greensboro, NC)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral and… more
- Lowe's (Richmond, VA)
- …Bulk Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load ... well-functioning distribution process. **Key Responsibilities** + Review voicemails, emails, and claims for developing issues, providing status updates to the Bulk… more
- Alabama Oncology (Birmingham, AL)
- …for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, ... explanations of benefits and exercises all options to obtain claim payments. + Reviews credit balance reports for correct...manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends… more
- Beth Israel Lahey Health (Charlestown, MA)
- …maintain a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient ... Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This… more
- Fair Haven Community Health Care (New Haven, CT)
- …Fair Haven prides itself on efficient billing services including the filing of claims , appeals processing , authorizations, and, above all, a great passion for ... companies either electronically or by paper when necessary + Work claims and claim denials to ensure maximum reimbursement for services provided Carrier… more
- Justworks (New York, NY)
- …out internal resources (help articles, training decks, etc.) + Handle the processing of unemployment claim -related documents through the Non-State Information ... Operations and Verifications Coordinator, you will assist the Unemployment Insurance Claims Team with resolving state inquiries (including child support fact-finding… more
- CareFirst (Baltimore, MD)
- …physicians and/or ancillary providers as well as knowledge about contracting and claims processing . + Experience in revenue cycle management and value-based ... use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy,...to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated… more
Recent Jobs
-
BMW Automotive Technician A & B Level - Up to 5K Sign on Bonus
- Rallye Motor Company (Westbury, NY)