- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have professional experience related to… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have professional experience related to… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the "Level of Performance" which best describes your claim . + A. I have experience monitoring the physical… more
- Sharp HealthCare (San Diego, CA)
- …cash to patient invoice.Accurately identify a patient credit for immediate processing .Accurately identifies appropriate ANSI rejection code to post for all zero ... + The position need to be able to determine the processing of rejection codes and how to move a claim forward. + There is also the need to have familiarity… more
- Humana (San Juan, PR)
- …outcomes. **Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support ... with special attention to privacy, security, and regulatory requirements in claims processing . + Act as an escalation point for critical delivery blockers… more
- Michigan State University (East Lansing, MI)
- …and service excellence. Specific Duties and Responsibilities + Billing & Payment Processing (40%) Prepare and image medical bills for third-party vendor payment. ... Enter payments into DXC Assure Claims and export files to KFS. Distribute Explanation of...(5%) Assist analysts with LTD applications and related EBS processing . Perform other duties as assigned. Minimum Requirements Knowledge… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and transfers balance… more
- Trinity Health (Livonia, MI)
- …by policy. + Interfaces with THAH to resolve problems related to the processing of bills/ claims . Investigates client accounts and provides any additional ... The Authorization Specialist is responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and… more
- CVS Health (Oklahoma City, OK)
- …relevant to the member to determine accuracy/appropriateness of benefit/administrative denial. -Research claim processing logic to verify accuracy of claim ... or audit experience. **Preferred Qualifications** -Experience in research and analysis of claim processing a plus. **Education** -Some college preferred. -High… more
- Fallon Health (Worcester, MA)
- …as the initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days ... for which the provider is liable. + Responsible for processing all incoming mail, as well as forwarding all...all incoming mail, as well as forwarding all initial claim submissions, claim adjustments, and other miscellaneous… more