- Point32Health (Boston, MA)
- …questions. We have extensive experience in curating and using electronic health system data including health insurance claims , medical records, and surveys. ... expertise or strong interest in Medicaid policy, maternal health, and/or safety-net health systems * Experience using claims data preferred * At least one… more
- Ochsner Health (New Orleans, LA)
- …The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... - + Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills. + Excellent communication and… more
- Allied Universal (Tulsa, OK)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...information: www.aus.com If you have difficulty using the online system and require an alternate method to apply or… more
- Logan Health (Kalispell, MT)
- …information. Your commitment to resolving issues and ensuring timely and accurate claim resolutions will help us maintain the highest standards of professionalism ... promptly. + Help patients understand billing statements, EOBs, and insurance claims . + Post payments and adjustments accurately, ensuring alignment with statements… more
- CareFirst (Baltimore, MD)
- …measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and ... and solutions to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated payment to articulate… more
- Rush University Medical Center (Chicago, IL)
- …benefit plans. The role ensures accurate, timely, and compliant claim submission, follow-up, and collections, while managing high-dollar, high-complexity accounts ... **Responsibilities** + Prepares and submits outpatient pharmacy (home infusion) claims covered by medical on a weekly basis. +...of new employees on all the outpatient pharmacy billing systems . + Assists management and new employees on coding… more
- Rush University Medical Center (Chicago, IL)
- …statements. The Specialty Billing Representative processes and follows up on claim denials, underpayments, and overpayments to ensure appropriate resolution and ... patient balance collections. **Responsibilities** + Prepares and submits medical claims weekly for Oncology, Infertility, Cystic Fibrosis, Transplant, and Pulmonary… more
- MetLife (Oriskany, NY)
- …regulations. * Determine corrective actions and resolution decisions, including claim reprocessing and provider/member reimbursement when applicable. Communication & ... complaint outcomes. Collaboration * Collaborate with internal partner areas such as Claims Operations, Legal, Compliance, Network Development, and SIU. * Refer cases… more
- HCA Healthcare (Ocala, FL)
- …relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. **In ... telephonically + Overcome objections that prevent payment of the claim and gain commitment for payment through concise and...+ Update patient accounts as appropriate + Submit uncollectible claims for adjustment timely and correctly + Resolve … more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more