- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... Office Director and the direct supervision of the Manager and/or Supervisor , the Associate Billing and Collections Representative is responsible for ensuring… more
- Omaha Children's Hospital (Omaha, NE)
- …results, follow up work comp paperwork needed for appointments to client, Claim Specialist, Department Manager/ Supervisor and source's physician. * Obtains ... company for breath alcohol testing + Assists the EH Supervisor or RN with follow-up care for a client...comp process with processing and filing of worker's compensation claims and assists with questions, all under the indirect… more
- Nuvance Health (Danbury, CT)
- …and accounts receivable functions. Responsible for the assigned areai? 1/2s claims submission, payment application, denial management, and account follow-up to ... ensure optimal reimbursement. Responsibilities: 1. Accurately processes claims , payments, rejections, refunds, credit balances and unapplied cash on a daily basis… more
- Intermountain Health (Broomfield, CO)
- …as needed on aging reports, reports all payor issues and/or denial trends to Lead/ Supervisor and may appeal and/or rebill underpaid claims and assist with ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the...in the system all correspondence and action for the claim . + Follow up in accordance with procedures and… more
- NJM Insurance (Trenton, NJ)
- Reporting to the QC Supervisor , the Quality Control & Compliance Associate is responsible and accountable for conducting complete and thorough reviews of medical ... process audits to support the department. This role also supports the QC Supervisor in completing compliance checklist reviews for both PIP and Workers' Compensation… more
- MTA (New York, NY)
- …Control SALARY RANGE: $128,255 - $148,850 HAY POINTS: 994 DEPT/DIV: Finance SUPERVISOR : Deputy Chief, Risk and Insurance Management LOCATION: 2 Broadway, New York, ... of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. +...cost, accuracy and best practices. + Monitors and manages claim reserves, working with TPAs and insurers to adjust… more
- Sedgwick (Columbia, SC)
- …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
- Peachtree Orthopedics (Atlanta, GA)
- … preferred . + Knowledge of ICD-10, CPT, HCPCS and the use of modifiers preferred . + Familiar with CMS 1500/UB04 claim form completion, knowledge of Medicare, ... Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts;… more
- Family and Children's Association (Mineola, NY)
- …for supervisor approval. + Maintain accurate records of all claims , supporting documentation, and communications with funding sources. + Review monthly credit ... is responsible for timely preparation, submission and payment reconciliation for claims submitted to various funding sources (local, state and federal government,… more
- ConnextCare (Oswego, NY)
- …companies to follow up on delinquent claims + Follow up on denied claims by sending claim status requests to appropriate insurance companies + Process ... Other duties and responsibilities as may be requested by supervisor and/or management + Cross training for posting explanation...claims for service via websites of insurance companies. Requirements… more
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