- 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
- BAYADA Home Health Care (Pennsauken, NJ)
- …payor organizations, external business or clients ensuring timely payment. + Complete claim denial management functions to ensure timely follow-up with denied ... claims and complete root causes analysis to determine ways...responsibilities. + Complete administrative appeals and escalation of outstanding claim issues with payor organizations. + Communication of accounts… more
- NJM Insurance (Trenton, NJ)
- …to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor , the WC Quality Assurance/Compliance Analyst is responsible for ensuring ... review process is proper and timely. + Conduct WC Claim audits to ensure adherence to department best practices...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Commonwealth of Pennsylvania (PA)
- …provide immediate crisis intervention and therapeutic services. As the administrative supervisor , you will shape psychological services programs, assist in creating ... Levels of Performance Select the Level of Performance that best describes your claim . + A. I have professional experience related to the work behavior above… more
- Henry Ford Health System (Detroit, MI)
- …+ Submit third party claim forms (ie UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based ... of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials… 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 ... PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have professional experience independently performing...a new or unusual situation, I consulted with my supervisor or others more experienced than myself. + C.… more
- Commonwealth of Pennsylvania (PA)
- …process of Individual Support Plan development in HCSIS; assisting providers with claims resolution or billing issues; and participating in the Office of ... Ridgway. Remote work option is subject to approval from supervisor as proficiency increases. The ability to telework is...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more