- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing /adjudication, recipient/provider eligibility, and third-party liability. ... in projects like the following: CMS Federal Reporting, quality measures, claims processing , Medicaid program eligibility, provider enrollment, third-party… more
- TEKsystems (Chesapeake, VA)
- …a manageable monthly patient volume of ~100 patients, ensuring timely and accurate claim processing . + Take complete ownership of billing operations, including: ... originate from our hospital system. + Submit and manage claims across multiple payer portals, including Medicare (primary payer...+ Claim submission + Payment posting + Denial management +… more
- Philips (Malvern, PA)
- …testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. **You're the right fit if:** ... + Working with various commercial insurnace payers to resolve claims and denials. + Escalating payor issue trends for...solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. +… more
- Aflac (Farmington, CT)
- …on state regulations. + Coordinates correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive ... Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, employer,… more
- Community Health Systems (Franklin, TN)
- …preferred + 1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required + Prior experience with revenue ... assist in issue resolution, and help identify trends that can improve claim outcomes. **Essential Functions** + Monitors assigned queues and duties across various… more
- Choctaw Nation of Oklahoma (Talihina, OK)
- …guidelines and federal requirements. You will support patients through scheduling, claims processing , eligibility review, denial communication, and appeals, ... providers and vendors to schedule services, obtain necessary documentation, and address claim status or authorization questions. 4. Support patients and families by… more
- Sedgwick (Pasadena, CA)
- … claim files. + Processes packets. + Conducts computer data entry and processing ; documents claim files in the system correctly. + Prepares spreadsheets and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Banner Health (AZ)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim... claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools.… more
- Commonwealth of Pennsylvania (PA)
- …Water Program support staff. The responsibilities of this position include processing the Regional Clean Water Program Manager's incoming/outgoing mail, copying, ... including letters, reports and mail mergers, as well as processing NPDES Part I and WQM Part II permits....PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have experience sorting, filing, and… more
- Commonwealth of Pennsylvania (PA)
- …position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or ... Select the Level of Performance that best describes your claim . + A. I have experience performing basic self-care...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more