- The County of Los Angeles (Los Angeles, CA)
- …level agreements and manages to ensure their attainment. Coordinates information systems activities with other divisions/sections or County departments to optimize ... existing hardware and software and leverage design of new systems . Manages and/or supervises and participates in the assessment...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Nuvance Health (Danbury, CT)
- …application of cash received. Processes statements to insure an effective billing system . Responsibilities: 1. Accurate, timely and compliant claim submission. ... *Description* Summary: Maintains accurate and timely claim submission for designated groups of accounts by...designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations… more
- Commonwealth of Pennsylvania (PA)
- …Apply today! DESCRIPTION OF WORK Reporting directly to the Aging Care Management Supervisor 1, the Aging Care Manager 2 assesses the needs of consumers utilizing ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
- Henry Ford Health System (Troy, MI)
- Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established ... of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials… more
- University of Rochester (Brighton, NY)
- …). Monitors, tracks, and maintains data for reporting requirements. Utilizes multiple systems to analyze claims , trends and desired outcomes including HRMS, ... May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to… more
- BronxCare Health System (Bronx, NY)
- …consistent with maintaining and furthering a positive public perception of BronxCare Health System . This includes introducing self by name and title to all patients. ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- TEKsystems (St. Louis, MO)
- …and interactions comply with HIPAA and CMS guidelines. Required Skills: + EMR systems (NextGEN preferred) + Claims resolution + Billing and medical collections ... This role is responsible for managing rejected, denied, and outstanding insurance claims , ensuring accuracy and compliance throughout the billing cycle. The ideal… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …the health insurance industry, products and services + Familiarity with claims and claims processing. + NYS WC claim processing a plus + Strong follow-up, ... identifying and resolving provider issues. The Support Specialist reports to the Supervisor of Casualty Support. The successful candidate will be afforded an… more
- Hartford HealthCare (Farmington, CT)
- …requirements, in order to resolve edits, denials or exceptions detected during system processing of the claim . *_Position Responsibilities:_* 1. Analyze and ... staff that has certified coders to correct and resolve claim and denial issues. In addition, the department includes...billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system… more