- Northern Light Health (Brewer, ME)
- …Light Health. Position is focused on financial accuracy in billing and claims . Auditing and reconciling departmental charges, analyzing claim denials, and ... centers for correct charges and reimbursement. + Works across teams to resolve claim denials. + Use Pharmacy Pricing Policy to determine patient charges. + Assist… more
- MyFlorida (Largo, FL)
- …System and to other Accounts Receivable billing software systems. + Perform third party claims processing and collection activities for all payors of the State ... must be verifiable. Your resume and any credentials you claim (degrees, certifications, etc.) must be attached to your...aging reports for all payers. + Maintain a clean claim billing average within timely filing guidelines. + Compile… more
- BrightSpring Health Services (Glenview, IL)
- …+ 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
- Avera (Sioux Falls, SD)
- …to customer's accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A ... Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and… more
- Walmart (Bentonville, AR)
- …Summary ** **What you'll do ** **Senior Data Scientist for Walmart Claim Services** Location: Bentonville, AR Join us in revolutionizing data-driven decision-making ... in the world's largest company! Walmart Claim Services (WCS) is looking for a talented Staff...professional who operate like an internal insurance company, managing claims for our associates and customers across the nation.… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …office functions including admitting activities for patients, financial counseling, claims follow-up and collections, data analysis, charge entry and eligibility ... data entry of all pertinent information into the data processing system. + Responsible for ensuring that the outpatient...ensure that LOS is authorized, chart is coded and claim is billed and is in the payer system… more
- Integrative Emergency Services (Dallas, TX)
- …all providers and groups. + Partner with RCM vendors in the management of claim corrections or rejections due to enrollment errors and/or claim submission ... are submitted on timely basis to avoid risk of claims /adjustments and an unnecessary increase of Held AR. +...and determines which applications require management approval or special processing requirements. + Able to work with high volume… more
- UCLA Health (Los Angeles, CA)
- …Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing . As an Audit and Appeals Specialist, you will: + ... tracking cases and maintaining updated records in various systems + Review claim denials for clinical issues, prepare appeals, and manage each case's resolution… more
- CommonSpirit Health (Prescott Valley, AZ)
- … to insurance companies. Conducts timely follow up withinsurance companies regarding claim processing and payment status. + Assists patients in establishing ... + Assists patients via telephone and/or written response regarding account/ claim status inquiries. Responds professionally and within appropriate timeframes to… more
- Intermountain Health (Columbia, SC)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Qualifications** + High… more