- Highmark Health (Nashville, TN)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Henry Ford Health System (MI)
- …high risk of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest ... assurance initiatives. + Provides input, ideas and analyzes data for processing improvements. + Supervises special project teams and coordinates tasks related… more
- Robert Half Finance & Accounting (Englewood, CO)
- …industry, utilizing your skills in a diverse set of roles including processing claims , maintaining customer records, and resolving inquiries. Responsibilities: + ... as applicable + Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc. + Monitor administrative costs of benefit… more
- UnityPoint Health (Cedar Rapids, IA)
- …and over the counter products. + Exhibits and maintains extensive knowledge in processing insurance claims and reimbursement procedures. + Assists in maintaining ... and minimize exceptions. + Communicates with insurance carriers to resolved claim rejections, and communicates with insurance carriers to obtain refill… more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... pricing, medical terminology, CPT coding and CMS-1500 or CMS UB -04 claim formats. + Knowledge of managed care industry legislated and regulated requirements,… more
- Robert Half Legal (Mesa, AZ)
- …data efficiently. * Assist in claim administration by reviewing and processing claims in compliance with legal guidelines. * Communicate effectively with ... clients, attorneys, and court personnel to facilitate case progression. * Support attorneys during court proceedings and depositions by preparing materials and taking notes as needed. Requirements * Minimum of five years of experience as a litigation paralegal… more
- AssistRx (Phoenix, AZ)
- …Customer Service. + Submitting billing data to appropriate insurance providers + Processing claims and resolving denial instances + Achieving maximum ... reimbursement for services provided + Completing Medicare and Commercial insurance claim submission. + Documenting and reporting payment information. + Professional… more
- St. Luke's University Health Network (Allentown, PA)
- …codes to individual patient medical records for data retrieval, analysis and claims processing . Codes and abstracts all pertinent medical information according ... Assist the coding manager with hospital coding workflow, monitoring account and claim edit work queues and re-assigning coding professionals as needed, including… more
- City of New York (New York, NY)
- …of Clerical Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing . - Assign, evaluate and review ... - Liaise with the Social Security Administration on any issues related to the claims or the use of the Government Service Online (GSO) application. Salary Range:… more
- Centene Corporation (Indianapolis, IN)
- …work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing , and data mining preferred. **Please note:** candidate ... related field, or equivalent experience. 4+ years of combined medical claim investigation, financial impact analysis, business analysis, compliance or fraud and… more
Recent Jobs
-
Associate Director, Product Sustaining Technical Integrator
- BD (Becton, Dickinson and Company) (San Diego, CA)
-
Medical Office Specialist Courier PRN
- HCA Healthcare (Alexandria, LA)
-
Victim Advocate Specialist
- City of Thornton (Thornton, CO)
-
Solutions Engineer
- Logitech (San Jose, CA)