- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to ... and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions.… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various ... third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- NY License required; Exp ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines benefits… more
- UnityPoint Health (Hiawatha, IA)
- …billing and denial issues, including sending appeals and trouble- shooting and correcting claim or account errors. + Documents denials and billing issues to identify ... processes that need improvement in order to maximize efficiency and ensure proper payment within the department. Daily and/or weekly duties: + Creates and modifies documents using word processing and spreadsheet computer programs. + Maintains designated filing… more
- Catholic Health Initiatives (Omaha, NE)
- …and in accordance with policies, procedures and other job aides. + Works the claim edit work queues timely and efficiently to correctly resolve the error. + Assists ... with unusual, complex or escalated issues as necessary. + Accurately documents behavioral authorizations, VOB, and co-pay amounts. **Job Requirements** Education and Experience Education Level Education Details Grace Period And/Or Experience Experience Details… more
- University of Rochester (Rochester, NY)
- …requests, necessary and appropriate medical terminology to use in order for claim to be approved, previous treatments that are necessary to report, appropriate ... verbiage for treatments that have been tried and not successful. + Applies knowledge and protocols to varying degrees based on how complexities of the situation deviate from the norm. + Resolves obstacles presented by the insurance company by applying… more
- UnityPoint Health (Madison, WI)
- …all patient demographic information, and insurance information to establish a clean claim , and to ensure that Joint Commission, Meaningful Use, CMS and Billing ... requirements are met. They will establish and assign hospital account numbers to be used for billing and documentation. They will also determine out of pocket costs for patients, and collect deductibles, co-payments, and coinsurance at the time of… more
- HonorHealth (AZ)
- …accounts to ensure accuracy. + Performs routine data entry and/or review of claim edit work queues: Input charges for physician billing Maintains current knowledge ... of regulatory billing requirements for the specified payers and various specialty specific limitation or payer expectations. Review Charge review work queues as assigned. + Handles all payments and correspondence received in the central business office.… more
- C&S Wholesale Grocers, Inc. (Keene, NH)
- …product across all C&S facilities + Identifying, researching, and resolving vendor claims to ensure proper payment, making any necessary inventory adjustments, and ... + Shrink, including errors related to weight variances + Customer and vendor claims + Audit results for warehouse processes, including customer shipment and product… more
- Finger Lakes Health (Geneva, NY)
- …Pay Range $19.35 - $22.47 Job Description Responsible for accurate and timely submission of claims to third party payers and follow up of billed claims for