- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... determination made by the government or commercial payors, or their auditor representative . + Facilitate clinical chart reviews to assist with supporting assigned… more
- Custom Truck One Source (Lynchburg, VA)
- …or to ensure that they are working properly in order to prevent post sales claims . + Raise vehicles and heavy parts or equipment using hydraulic jacks or hoists to ... able to work overtime as needed. **Physical Requirements** The following are representative of the mental and physical requirements necessary for an applicant… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute ... Travel required. EDUCATION AND EXPERIENCE The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations… more
- American Packaging (Churchville, NY)
- …+ Assign tasks and manage the complaint system and assure that customer claims are processed effectively and timely. + Prepare capability analysis of physical ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Omaha Children's Hospital (Omaha, NE)
- …Care * Review and project contract performance based on modeling of actual and representative samples. * Gather and interpret data from a variety of sources to ... the analysis of accounts receivable financial performance based on analysis of claims processing, payer remittances, payment variances and denials. * Uses the… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …includes the negotiation of change orders, payment approval, resolution of claims , solving performance and warranty issues, enforcement of site access requirements, ... or provide your contact information, and a Basin Electric Human Resources representative will contact you. Basin Electric is an Equal Employment Opportunity Employer… more
- UnityPoint Health (Rock Island, IL)
- …on-site support for billing questions from patients and guarantors. The representative is responsible for understanding the patient accounting operations and ... of healthcare revenue cycle experience - understand healthcare financial terms, claims processing & adjudication, terminology. *Specific offers are determined by… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …administer corporate welfare and retirement benefits. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and ... issues. **EDUCATION AND EXPERIENCE** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations… more
- Logan Health (Kalispell, MT)
- …procedures. + Review provider and chemotherapy schedules, monitor insurance claims , and coordinate follow-up with billing. + Evaluate chemotherapy protocols ... for specific services being rendered. + The above essential functions are representative of major duties of positions in this job classification. Specific duties… more
- Sage Hospitality Group (Portland, OR)
- …regarding verification of employment,wages, unemployment compensation and worker's compensation claims , in a manner which isconsistent and ensure that liability ... of all documentation. **Physical Demands** The physical demands described here are representative of those that must be met by an associate to successfully… more