- R1 RCM (Boise, ID)
- …expertise will guide the organization in improving financial performance and ensuring efficient claim processing . **Here's what you will experience working as a ... Lead, you will play a critical role in reducing claim denials and optimizing revenue cycle processes. Every day...trends to identify patterns and underlying issues contributing to claim denials. + Conduct thorough root cause analysis to… more
- Community Health Systems (Franklin, TN)
- …guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies ... of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (eg, Athena… more
- Palo Alto Networks (Santa Clara, CA)
- …Channel Distribution Order Operations Specialist will primarily focus on processing orders, managing inventory data, reconciling discrepancies, and coordinating ... operational efficiency and revenue goals. **Your Impact** **I. Distributor Order Processing & Backlog Management** + Process Channel Stocking Replenishment (Sell-in)… more
- Pfizer (Memphis, TN)
- …cycle time delays. + Sales Order Management (SOM) transactional responsibilities include processing EDI orders, process claims for shipping exceptions, provide ... for Pfizer's product line, and works to quickly resolve any distribution related claims . Position handles incoming calls and request from customers which require the… more
- Molina Healthcare (Louisville, KY)
- …statuses and risks, and facilitating calls with cross-functional teams + Claims processing , provider contacting, health data analysis and reporting, ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows up on insurance claims ;… more
- Independent Health (Buffalo, NY)
- …Reliance Rx Operations & Compliance department. + Experience working with online claims processing system preferred. + Effective oral and written communication ... primarily responsible for completing the billing of both pharmacy and medical claims and adjudicating rejections. **Qualifications** + High school diploma or GED… more
- North Carolina State University (Raleigh, NC)
- …medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing , and the policies and contracts of ... insured patients; obtaining and providing the clinical documentation necessary for claims processing , such as x-rays, chart notes, and letters of necessity; +… more
- San Francisco Federal Credit Union (San Francisco, CA)
- …Francisco. The Position The Electronic Payment Services Specialist, is responsible for the processing of all ACH, ACH, Share Drafts, Wires, Mobile Deposits and all ... card services provided by San Francisco Federal CU including processing fraud disputes as well as assisting members, branch...files. Process credit/debit card and ATM fraud and dispute claims . Have a thorough understanding of Mastercard rules and… more
- City of New York (New York, NY)
- …of medical consultation appropriate to the circumstances of the cases. Reviews claims for processing voluntary awards of workers' compensation benefits. Trains ... 5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and… more