- University of Rochester (Albany, NY)
- …denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + ... of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working across the… more
- Covenant Health Inc. (Knoxville, TN)
- …information pre-bill as identified on daily failed bill reports from the patient accounting system to ensure that the claim can be processed in an accurate ... knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This...and timely manner. Analyzes claim edits within billing system and payer… more
- Mondelez International (West Chester, OH)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk ... and guarantee accurate stock alignment between SAP and the warehouse management system based on available information among stakeholders. Analyze and verify capacity… more
- Performance Optimal Health (Stamford, CT)
- …responsibilities. + Oversee all daily billing functions, including charge entry, claims submission, payment posting, and account follow-up. + Ensure all billing ... using Apple products. + Familiarity using administrative and electronic medical record systems . + Ability to work independently and within a team environment. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for care management programs ( systems researched may include: care management system , claims and membership system , MedAi); researches claims ... clinical staff. + Navigates and utilizes corporate applications; core claims and membership system , intranet and related...required. + Working knowledge of medical terminology and the claims systems required. + Must demonstrate proficiency… more
- System One (Pensacola, FL)
- …mortgage loans. Serve as subject matter expert regarding section functions, systems , policies and/or procedures. Responsibilities * Analyze accounts included in the ... groups regarding bankruptcy * Negotiate attorney fees and recommend approval to Supervisor * Analyze Chapter 7, 11 and 13 bankruptcy filings to determine… more
- Allied Universal (South Farmingdale, NY)
- 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
- The County of Los Angeles (Los Angeles, CA)
- …They also assist project managers in the development of project plans and system integration test plans for new systems or complex enhancements to ... systems ; prepares user acceptance test documentation; collaborates with system users to conduct user acceptance testing. Coordinates the identification and… 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...Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than… more
- Hartford HealthCare (Newington, CT)
- …Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor , assure timely and accurate submission of claims ... most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large...payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes… more
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