- Trinity Health (Lavonia, GA)
- …of the core Microsoft suite offerings (Word, PowerPoint, Excel). **Licensure/ Certification /Registration** : HFMA CRCR preferred. **Education:** High school diploma ... or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service… more
- University of Rochester (Rochester, NY)
- …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes… more
- The County of Los Angeles (Los Angeles, CA)
- …years of experience performing patient access functions at the level ofPatient Relations Representative . Withhold & Out of Class information: No withhold or out of ... acquired. In the County of Los Angeles, Patient Relations Representative is defined as performs complex and specialized patient...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… 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 ... and click on the benefits box. *Eligibility rules apply. 01 Select Certification - Do you possess an Engineer-in-Training certificate OR a Professional Engineer… more
- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third-party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands-on coding, documentation review, and other… more
- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- Highmark Health (Nashville, TN)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Commonwealth of Pennsylvania (PA)
- …estimates, shop drawings, and proposed changes in construction. As a bureau representative , you will be responsible for attending design review meetings and ... salary may be non-negotiable. + Employees with the required certification or license may be eligible to receive a...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …Engineer Consultant. This role is pivotal as you will serve as a representative for the Bureau of Operations on various construction projects, whether they are ... for these notices. + Note: Employees with the required certification or license may be eligible to receive a...the "Level of Performance" button which best reflects your claim . + A. I have professional experience INDEPENDENTLY performing… more
- DriveTime (Mesa, AZ)
- …the total loss process. Starting with the notification of the total loss claim , cancelation of ancillary products, filing Gap with the correct service provider, and ... in gathering all the necessary information pertaining to the claim and documents. Specialists will work with third parties...third parties to obtain updates or changes to insurance claims . All processes should be completed in a timely… more
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