- 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
- CareFirst (Baltimore, MD)
- …support, client services, client administration, customer service, enrollment and eligibility, claims processing , and call center operations. Reviews and ... + Maintains customer service objectives by monitoring daily operations; resolving claims that require manual review or technical support, enrollment or billing… more
- City of Lakeland (Lakeland, FL)
- …claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service agents to support inbound customer service, help desk, and back-office processing representatives . In this role, you will provide full lifecycle customer… more
- UNC Health Care (Chapel Hill, NC)
- …issues with Research Accounts to ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the ... all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …Administration oversees the entire chargeback process, ensuring accurate and timely processing of claims , managing team performance, and maintaining compliance ... + Operational Excellence + Oversee the complete chargeback lifecycle, including claim validation, processing , reconciliation, and dispute resolution. + Serve… more
- Robert Half Accountemps (Seattle, WA)
- …will have a strong background in accounts payable, invoice processing , and reconciliation, coupled with excellent problem-solving abilities. Responsibilities: * ... purposes. * Identify invalid or non-compliant vendor charges and process chargeback claims with vendors. * Collaborate with publishers and internal teams to research… more
- Sharp HealthCare (San Diego, CA)
- …of knowledge of health plan operations, health plan software configuration, enrollment and claim file processing and trading partner management, and data ... Plan operational data sets including, but not limited to, eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt… more
- Hannaford (Franklin, NH)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...Relay specific communications to customer from technician or pharmacist processing prescription. * Maintain solid communication within the department.… more
- Intermountain Health (Lincoln, NE)
- …guidelines + Responsible for primary oversight of revenue cycle functions such as claims processing , denials, payments, customer service, and follow up on ... or commercial payer enrollments for both technical and/or professional fee claim reimbursement. Assist in minimizing provider enrollment AR by monitoring enrollment… more