- Covenant Health Inc. (Knoxville, TN)
- …as it relates to front end and back end appeals hand-offs, payer correspondence, and claims processing . + Participates in the education and training of new staff ... documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as necessary.… more
- University of Rochester (Rochester, NY)
- …conducts operations that affect the revenue cycle (eg, billing, collections, payment processing ). Develops and implements processes to meet revenue cycle goals in ... + Resolves flagged reports to ensure timely submission of claims to payers. + Monitors and ensures worklists are...timely manner. + Monitors cash flow, receivables, Hold Bills, Claim Edits, and aging reports, as well as payment… more
- HCA Healthcare (San Antonio, TX)
- …regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the ... coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes… more
- Sysco (Carol Stream, IL)
- …along with transactional analysis, various levels of transaction processing , shipment discrepancy investigation and resolution. **RESPONSIBILITIES** + Reconcile ... a shipment discrepancy + Analyze requests, determine resolution requirements and processing accordingly + Investigate, analyze and resolve various requests involving… more
- Katmai (Portsmouth, VA)
- …Ensure delinquent and non-count appointments shall be resolved daily by end-of-day processing . + Ensure the Patients' booking clerks are familiar with the appointing ... closure. + Capture the CLR as soon as a claim is discovered or requested by the referring provider....or requested by the referring provider. + Check applicable claims database(s), when CLRs are undocumented in-patient records and… 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
- New York State Civil Service (Albany, NY)
- …will assist in the administration of Requests for Applications, reviewing and processing grant applications, developing and processing contracts through the ... procedures for efficient and accurate management of applications, contracts, reimbursement claims , and progress reports. * After contract approvals, review claims… more
- Robert Half Accountemps (Syracuse, NY)
- …in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing . Candidates should possess a strong ... background in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills. Responsibilities: *… 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
- Walmart (Plainfield, IN)
- …Central Fill Pharmacy is a specialized type of pharmacy that focuses on processing and dispensing of prescriptions for multiple retail pharmacy locations within a ... by entering and modifying pharmaceutical data on system and forms; processing and submitting paperwork; creating and maintaining documentation (for example, files,… more
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