- SERV Behavioral Health System (Hamilton, NJ)
- …staff and insurers within the standard billing cycle timeframe. + Identifies corrected claims and process all claim appeals. + Ensures secondary billing is ... services. JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing...denials for timely filing. + Follows up and escalates claims as outlined in the claim 's procedures… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Billing System. * Works assigned accounts with the highest level of complexity within claim edit work queue(s) daily and resubmit claims through the Epic billing ... * Works assigned accounts with the highest level of complexity containing External claim edits from Clearinghouse and resubmits claims through the Epic billing… more
- OhioHealth (Mansfield, OH)
- …Description Summary:** Given that the organization self-insures for professional liability claims , it is essential that the Sr Consultant Risk Management effectively ... patient outcomes that have the potential to progress to professional liability claims against the hospital; analyze, interpret, and generate reports regarding the… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's an opportunity ... and efficiency. How you will create an impact The Senior Claims Investigator is responsible for all...on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and… more
- University of Southern California (Alhambra, CA)
- … rejections and denials which might prevent or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in ... Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM,… more
- The Hartford (Hartford, CT)
- …The Hartford Reporting to the Director of Commercial Property and Catastrophe Claims Performance Analytics, this Senior Performance Analytics Consultant role is ... and financial trends underlying business insurance property and catastrophe claims . You will partner with claims , product,...labor and material costs, impact of storm intensity on claim severity, etc.) * Drive progress on the most… more
- AmeriHealth Caritas (Manchester, NH)
- …medical policy and edit reviews + Requests/runs queries to identify root causes of claim denials, incorrect payments, and claims that are not correctly submitted ... **Role Overview:** ;The Senior Provider Network Operations Analyst is responsible for...well as addressing provider and state inquiries related to claim payment issues. **Work Arrangement:** + Hybrid - The… more
- Mount Sinai Health System (New York, NY)
- …Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Access: Supports For Living (Middletown, NY)
- …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... Senior Billing Specialist Location: Middletown, NY, United StatesDate...billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program … more
- Commonwealth of Pennsylvania (PA)
- Senior Budget Analyst (Budget Analyst 3) (Local Government) -Allegheny County Support Administration Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5155661) Apply Senior Budget Analyst (Budget Analyst 3) (Local Government) -Allegheny County Support… more