- 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 ... the "Level of Performance" button which best reflects your claim . + A. I have professional experience INDEPENDENTLY performing...addresses the items listed below which relate to your claim . If you indicated you have no work experience… 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 conducting inspections within...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Boehringer Ingelheim (Ridgefield, CT)
- …accomplished by managing the Medicaid rebate operations for BIPI which includes claim processing , dispute resolution, quarterly CMS pricing compliance and ... Continuously assess alternative validation sources that could potentially enhance our claims processing and dispute resolution processes. + Responsible for… more
- UCLA Health (Los Angeles, CA)
- …Microsoft Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius ... government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors, edits,… more
- Huron Consulting Group (Chicago, IL)
- …+ Previous experience in claims , RMC Actions, Late Charge/Replacement Claim Processing , Self-Pay Workflows and Denial Management **Position Level** ... HB applications, workflow design and Work Queues (follow-up, billing claim edit, denials, etc.) + Experience with Billing Edits...denials, etc.) + Experience with Billing Edits - DNB, Claim Edits, Stop Bills as well as billing activities… more
- Kemper (Birmingham, AL)
- …all activities for Accounts Payable, Billing, Escheatment, Travel & Entertainment Expense Processing , Vendor Processing , Payroll, Check Services, and 1099 ... input and advice as a subject matter expert across several topics including payment processing methods, NACHA Operating rules and Debit Card processing + Help… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …. Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules, ... business analysis. . Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition to Level I Qualifications) .… more
- Elevance Health (Norfolk, VA)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and ... Specialist II is** responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
- Robert Half Accountemps (Los Angeles, CA)
- …and manually, as needed, and uses all technology available to produce clean claims . * Interprets claims processing reports and applies information ... information as necessary in order to produce a clean claim . * Meets or exceeds productivity standards in the...ability to analyze coding to assure proper billing of claim . * Participates in a variety of hospital educational… more
- Hartford HealthCare (Farmington, CT)
- …as they pertain to billing processes and procedures . Knowledge of insurance claim processing and third party reimbursement . Knowledge and detailed ... efforts to review and resolve issues related to insurance claim denials, no response claims and payment...related to insurance claim denials, no response claims and payment variances including underpayments and overpayments. Provides… more