- Allied Universal (Burlington, VT)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Covenant Health Inc. (Knoxville, TN)
- …between other Covenant departments in order to correct any issues with billed claims to ensure correct billing and proper claim processing. Position Summary: ... Overview Patient Account Representative - Insurance Claim Follow-Up Full Time , 80 Hours Per...for resolution- check status with insurance company for billed claims that have not processed & determine what may… more
- Commonwealth of Pennsylvania (PA)
- …Chief upon request. This position authorizes and monitors payments to claims services companies, reviews invoices for reasonableness and completeness and works ... point, new employees may transition to part-time telework with supervisor approval. The expectation will be that employees will...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Sedgwick (West Hills, CA)
- …Supervisor , LTD Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and ... 8521 Fallbrook Ave West Hills, CA 91304 **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine… 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Trinity Health (Davenport, IA)
- …and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Beth Israel Lahey Health (Charlestown, 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, ... geared toward process improvements within the Central Billing Office. 17. Assists the Supervisor , Billing with the resolution of complex claims issues, denials,… more
- Hartford HealthCare (Farmington, CT)
- …Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor , assure timely and accurate submission of claims ... or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue… more