- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Covenant Health Inc. (Knoxville, TN)
- …Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible ... coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services...for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately… more
- Raphael and Associates (Rutherford, NJ)
- …appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate ... and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on...included (claimant info, loss date, incident description). + Enter claim details into the system, including policy info, loss… more
- 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