- Guthrie (Towanda, PA)
- …within the department. Trains Insurance Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst ... reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit balances as… more
- Blue KC (Kansas City, MO)
- …conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments. Assigned cases and projects are generally of moderate complexity and ... reports to key stakeholders (eg, Provider Relations, Medical Management, Pharmacy, Claims , Legal) + Assist in coordinating responses to subpoenas and preparation… more
- HonorHealth (AZ)
- …to reduce the A/R Submit appeal letters on unpaid and underpaid claims Participate in accounts receivable collections projects as needed to meet department ... Work the electronic denial file (835b) to ensure clean claim submission Review Charge review work queues as assigned...letters to delinquent accounts Answer incoming patient calls Provide support to the clinics as needed during patient care… more
- City of New York (New York, NY)
- …insurance billing specialist, you will perform health insurance billing activities and support functions including claim review, claim submission, follow ... medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in… more
- AON (TN)
- …the benchmarks for compliance both with company programs and DOT requirements + Analyze claim data and develop programs to prevent claims from occurring. + ... the benchmarks for compliance both with company programs and DOT requirements + Analyze claim data and develop programs to prevent claims from occurring. +… more
- AON (Dallas, TX)
- …+ Establish an understanding of the claims administration process and utilize the claims and legal advocacy group for claim administration and counsel as per ... internal Aon clients + Provide broking status and continuous support and service to clients during the entire broking...the claims administration process and utilize the claims and legal advocacy group for claim … more
- Synergy Healthcare Solutions (Dunwoody, GA)
- …team, facilities, and insurance carriers. **Key Responsibilities** + Set up new workers' compensation claims and maintain claim records. + Submit claims and ... Administrative Assistant** Onsite @ Atlanta, GA | _Full-Time_ | _Administrative Support |_ **About the Role** We're a compassionate, mission-driven organization… more
- Rush University Medical Center (Chicago, IL)
- …for all major payers via monthly payer scorecards reconciliation reports, payment denials, claims projects, claim events, and senior leadership payer meetings. * ... and project related work as it pertains to payer performance, payer claim resolution projects, Joint Executive Committee meetings, and the overall payer performance… more
- Commonwealth of Pennsylvania (PA)
- …responsible for conducting self-help groups and coordinating with other resources to support the recovery process. In addition, you will provide on-the-job training, ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …who appear in person, ensuring they receive the necessary guidance and support . Interested in learning more? Additional details regarding this position can be ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more