- 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 professional experience related 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 ... 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 professional experience related to… more
- WMCHealth (Valhalla, NY)
- …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function of the ... year. There is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the… more
- Library of Congress (Washington, DC)
- …that apply to section operations. Replies to the most complex status and processing inquiry requests by drafting original correspondence or responds by telephone or ... and electronic mail to resolve filing irregularities. Promptly processes claims requiring special handling; Congressional, White House, Senate inquiries, and… more
- Fallon Health (Worcester, MA)
- …as the initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days ... for which the provider is liable. + Responsible for processing all incoming mail, as well as forwarding all...all incoming mail, as well as forwarding all initial claim submissions, claim adjustments, and other miscellaneous… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position ... inquiries this includes (but not limited to): general inquiries on claims processing , payment status and appeal and eligibility status verification. Document the… more
- City of New York (New York, NY)
- …Area Supervisor, who will: - Directly and indirectly supervise staff in Claims processing /establishment of claims /recovery of manual payments/Program ... support. Track and ensure productivity of processing case actions in claims , establishment and imaging or recovery units. - Develop, complete, review and… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and transfers balance… more
- BrightSpring Health Services (Memphis, TN)
- …+ Stay current with Medicaid claim regulations and ensure compliance in processing . + Track unpaid or delayed claims ; generate reports for management. + ... Provide excellent customer service in line with company values and policies. + Assist with medication preparation and dispensing under Pharmacist supervision. + Support additional pharmacy tasks and operations as directed by management. Qualifications… more
- Centene Corporation (Pittsburgh, PA)
- …reviewing, investigating and tracking member grievances and appeals, and provider claims disputes. Responsible for coordinating as necessary with the G&A ... member grievances and complaints + Screen all incoming grievances, appeals and provider claim disputes to ensure they are in compliance with the Arizona Revised… more