- Robert Half Technology (Woodbridge, NJ)
- …Traditional Actuarial Tasks * Support reserving analysis to estimate unpaid claim liabilities primarily in partnership with internal and external actuaries. * ... reported (IBNR) calculations both based on financial and operational data (eg, claims closing ratios). * Support the development and validation of actuarial… more
- 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
- Mount Sinai Health System (New York, NY)
- …This role ensures that all team members involved in patient registration, billing, claims processing , denial management, and collections are equipped with the ... and reports. + Strong experience with vendor contract management and invoice processing . **Knowledge, Skills, and Abilities** 1. Demonstrated success in a large… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Api. 4 years of experience using Core FACETS (Version 5.0 and above) with Claims Processing , Providers, Member Enrollment and Finance modules. 3 years of ... ensure accurate, timely data integration and analysis in order to support claim processing , patient care and regulatory compliance;using application development… more
- UNC Health Care (Rocky Mount, NC)
- …The Patient Access Intake Specialist is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely ... driven outcome targets to continue the revenue flow cycle of clean claims and point of service cash collections. These functions includes, but not… 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
- 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
- St. Luke's University Health Network (Nazareth, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Maintain knowledge of current insurance regulations, trends ... patients prior to and after their visits are completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- St. Luke's University Health Network (Hamburg, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Responsible for contacting the Primary Care Physician ... patient prior to and after their testing is completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- The County of Los Angeles (Los Angeles, CA)
- …a Human Resources Manager. Experience at the level ofPayroll Clerk Iis defined as processing the payroll for a segment of a County departmental or Health Services ... this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with...the level of Payroll Clerk I is defined as processing the payroll for a segment of a County… more