- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… 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 ... 27 Do you possess professional certification as a Reading Specialist ? + Yes + No 28 If "Yes," to...Select the "Level of Performance" which best describes your claim . + A. I have professional experience performing the… more
- SSM Health (Madison, WI)
- …and Requirements:** PRIMARY RESPONSIBILITIES + Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. ... leaders. + Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials. Works to improve billing based on… more
- CVS Health (Madison, WI)
- …areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to ... Wheelchair DME consultant include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the… more
- Ochsner Health (New Orleans, LA)
- …Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... - + Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills. + Excellent communication and… more
- The County of Los Angeles (Los Angeles, CA)
- …Facilities Evaluator I.* LICENSE: A certificate as a Registered Environmental Health Specialist issued by the California State Department of Health Services.** A ... required certificate (not the pocket license) as a Registered Environmental Health Specialist issued by the California State Department of Public Health with your… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy … more
- MetLife (Bloomfield, CT)
- …and rehabilitation plans. Supports Long Term and Short Term Disability claim operations by providing vocational rehabilitation assessment and case management ... . Provides return-to-work solutions through job modifications and accommodations. Assists claims staff by providing vocational opinions at various points throughout… more
- Hackensack Meridian Health (Edison, NJ)
- …management with a tool to provide education, increase the overall number of clean claims , and decrease the rework necessary to generate clean claims . Performs ... is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss...with understanding and applying logic to registration errors and claim rejections. + Experience with EPIC. + Prior experience… more
- BrightStar Care (Naples, FL)
- …into a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing… more