- Independent Health (Buffalo, NY)
- …Relations Representative will focus on first call resolution and navigate various systems and programs efficiently to provide the caller with the appropriate ... Research and respond to escalated and complex provider and member inquiries, including claim and billing research requests. + Provide written and verbal response to… more
- EMCOR Group (Dulles, VA)
- …solution that results in the responsive professional service and long-lasting systems you need for reliable facility operation and consistent business success. ... compensation cases, including reporting, documentation, and coordination with corporate claims management, insurance adjusters, and DC/MD/VA Worker's Compensation Commissions.… more
- Mass Markets (Savannah, GA)
- …the necessary information and notify business partners regarding messages, inquiries, and claim reporting + Works under close supervision + Utilize knowledge base ... to customers, understand their needs, and resolve customer issues + Research systems to find missing information; coordinate with other departments to resolve issues… more
- Hartford HealthCare (Farmington, CT)
- …become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of ... and our departments now work on behalf of the system as a whole, rather than a single member...Indicators (KPIs) and Productivity Standards). *Issue Resolution* 1. Reviews claim edits and revises coding/charging as appropriate for specific… more
- Hartford HealthCare (Farmington, CT)
- …become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of ... and our departments now work on behalf of the system as a whole, rather than a single member...American Health Information Management Association *Issue Resolution* 1. Review claim edits and revise coding/charging as appropriate for specific… more
- Elderwood (Waverly, NY)
- …of ADR claims i. Compiles supporting documentation required for ADR claim ii. Pre-populates ADR letter based on denial information for DOR to complete ... a. Discharges residents, including input of resident demographic information from system b. Monitors ADT to maintain in-house versus discharged status of… more
- Independent Health (Buffalo, NY)
- …years of experience working in a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. ... + Knowledge of ICD-10-CM and ICD-10-PCS coding systems , as well as respective reimbursement methodologies associated with each coding system preferred. +… more
- CareOregon (Portland, OR)
- …Accurate and timely provider data plays a critical role in the success of claims payment, OHA Health Systems (DMAP) and CMS encounter data submission, PCP ... Management Level n/a Direct Reports n/a Manager Title Provider Data Supervisor * Claims Department Claims Requisition 25043 Pay & Benefits Estimated hiring range… more
- Ohio Machinery Co (Broadview Heights, OH)
- …Warranty Analysts, providing leadership and support for the processing of warranty claims specific to repair orders within the Truck Group Service departments. + ... will oversee the entire Truck Group warranty process, including submitting claims , organizing receipts, communicating variances, and resolving variances to the… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …organization while maintaining high-quality patient experiences. Key Responsibilities + Claim Management: Handle charge and code input, prior authorizations, ... scrubbing, timely submission of claims , secondary billing, and coordination of benefits. + Payment...and Analysis: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker… more