- Sedgwick (Carson City, NV)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred . **Responsibilities** 1. Follows up on submitted claims ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- 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
- Cedars-Sinai (Los Angeles, CA)
- …professional billing and/or collections experience required. Four years' experience or more preferred . Medicare Claim Edits and employee work comp follow-up ... Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating… more
- New York State Civil Service (Albany, NY)
- …SAMS software program to perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use in aid calculations and ... implementation of guidelines and procedures, and risk-based analysis for post-edit claim verification projects;* Process revisions to school districts' prior year… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …Proficiency in spoken and written English. Additional Requirement: Board Certification. Preferred Experience: 2 years supervisor experience. Reference: For more ... regulations. The position exercises full operational responsibility as first level supervisor . Plans and adjust daily assignments for supervised staff assigned to… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- MyFlorida (Largo, FL)
- …must be verifiable. Please attach your resume and any credentials you claim (degrees, certifications, etc.) to your application. *Other Accountant III positions may ... completion of a Level II Background Screening and due diligence process. PREFERRED QUALIFICATIONS: Preference will be given to candidates with the following: +… more
- Cedars-Sinai (Torrance, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue...aids and processes for unit. Applies "TCR" Touch It, Claim It, Resolve It. + Adheres to documentation standards… more