- US Tech Solutions (Mount Pleasant, SC)
- …office notes, pre-authorizations, hospital documents, etc. + Ensure charges drop for claims processing . Work closely with practice coder in resolution process. ... for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. + Research and analyze… more
- TEKsystems (Lincoln, NE)
- …data entry, customer service, Document management system, Administration, ms office suite, processing claims Additional Skills & Qualifications * 2-4 years ... panel leasing arrangements including administration, customer complaint resolution, and claim discrepancy situations. * Extensive knowledge and proficiency of the… more
- Vanderbilt University Medical Center (Nashville, TN)
- …program growth and scalability to support organizational expansion. + Handles claim processing , including payments, adjustments, refunds, denials, and ... programs in patient care, education, and research. **Organization:** PB Billing and Claims **Job Summary:** The Revenue Cycle Billing Coordinator is responsible for… more
- TEKsystems (Edina, MN)
- …This role is responsible for managing all aspects of billing and insurance processing , including: + Preparing and submitting claims for medical procedures and ... balances and collecting payments + Handling insurance denials and advocating for claim approvals + Ensuring compliance with coding standards and billing regulations… more
- TEKsystems (Rockford, IL)
- …Specialist to support medical data workflows and ensure accurate, timely case processing through CMS portals. Key Responsibilities + Navigate CMS portals to process ... complete before routing to clinical reviewers. + Support insurance claim decisions by preparing records for clinical insight and...2 year of experience in medical records or medical claims + Strong attention to detail and organizational skills.… more
- Salt Lake County (Salt Lake City, UT)
- …reasonable accommodation.* Assist attorneys, investigators, law enforcement, and claim agents with preparation for criminal/civil trial prosecution/litigation.* Case ... research factual and/or legal issues; analyze the elements of the crime and/or claims of the complaint, cross reference with criminal and/or civil statutes.* Follow… more
- Novant Health (Charlotte, NC)
- …analyze denials; correct errors to ensure accurate charge capture and timely claims processing . + Review charts, office notes, pre-authorizations, and supporting ... Entry Audit + Resolve Epic work queues including, but not limited to: Follow-Up, Claim Edit, Charge Review (Audit and Review), and Missing Guarantor. + Research and… more
- Community Health Systems (Antioch, TN)
- …+ Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections. + Ensures thorough and accurate ... **Essential Functions** + Manages account follow-up for underpaid and overpaid claims , escalating unresolved issues internally as needed to achieve resolution. +… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …accurate and eligible payer information, along with financial responsibility, prior to claims processing * Makes appropriate referrals (ie Patient Financial ... compliance related admission and discharge forms (IMM, MOON, SON), billing account and claim edit WQs, and AMRTC workflows * Assist with mentoring and onboarding of… more
- CenterWell (San Jose, CA)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more