- East Boston Neighborhood Health Center (East Boston, MA)
- …verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure clean claim submission) & Transaction history ... payor websites to research policies and coverage eligibility for use in claim adjudication, trend identification, and application for process improvement. + Utilize… more
- Robert Half Technology (Philadelphia, PA)
- …modify, and optimize database queries, stored procedures, and reports to support claims processing . * Monitor and improve system performance, availability, and ... within the claims database environment. * Collaborate with claims processing teams to understand workflows, data requirements, and reporting needs. *… more
- Robert Half Office Team (Mountlake Terrace, WA)
- …coding, and supporting cross-functional collaboration to enhance policy implementation and claims processing . Responsibilities: * Analyze and interpret medical ... * Address cross-functional requests with detailed assessments to enhance consistency in claims processing . * Support the development of medical policies by… more
- AdventHealth (Maitland, FL)
- …all provider types Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics experience Proficiency ... sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new… more
- Molina Healthcare (Houston, TX)
- … claims , COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals processing , and knowledge of regulatory guidelines for ... JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and… more
- City of Bellingham (Bellingham, WA)
- …trouble shooting and operation of AMR technology, meter reading and route processing functions. Give direction and technical assistance to the Service Representative ... using multiple computer software programs for data collection, record keeping, data processing , spreadsheets, reporting and data analysis required. + One year of… more
- Bon Secours Mercy Health (Warren, OH)
- …drug to a patient or patient representative and assisting with insurance claim processing . Performing diagnostic laboratory testing as defined in state ... Robotic Dispensing Systems Prioritization Performance Improvement Packaging Medications Insurance Claim Processing Compounding Medications Attention to Detail… more
- Walmart (Orlando, FL)
- …to determine root cause of issues for example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance ... rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other… more
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- …payments. Role includes time management and accurate completion of Section 8 voucher processing and special claims review. Approval of monthly vouchers, submit ... the management of the Finance Manager, the Financial Analyst carries out processing and financial administration for the assigned contracts. Responsible for the… more
- Fiserv (Omaha, NE)
- …card portfolio chargeback programs (debit, credit, prepaid). You will investigate claims , compare multiple avenues of processing disputes/chargebacks, and decide ... inquiries from internal and external stakeholders regarding chargeback requirements, system processing and functionality, dispute lifecycle, claim status, and… more
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