- Centene Corporation (Honolulu, HI)
- …- includes data analysis and entry, review of data via internet sites and other systems , usage of multiple systems and applications to validate data is complete ... provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display + Investigate and resolve complex… more
- University of Virginia (Charlottesville, VA)
- …the financial aspects of patient care, including billing, insurance claims , payment processing, financial counseling, utilization and revenue cycle analysis. ... are responsible for managing patient entry points into the healthcare system , including scheduling, registration, and verifying insurance. Patient access staff… more
- Carle Health (Champaign, IL)
- …of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision ... Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight...designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… 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
- 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
- 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
- System One (Vienna, VA)
- …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
- 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