- 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
- 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
- Travelers Insurance Company (Raleigh, NC)
- …billings, along with specialized reports, in accordance with billing schedules. + Extract claim data from loss systems to support billing exhibits. + Reconcile ... you will learn and develop expertise in billing operations for Third Party Claims , including Workers' Compensation, Property, Auto, and General Liability claims .… more
- CVS Health (Coral Gables, FL)
- …high profile providers and/or groups (ie local, individual providers, small groups/ systems ) to establish, oversee, and maintain positive relationships by assisting ... regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes… more
- GAF (Ennis, TX)
- …change notices (PCN's), and other in-plant processes. Lead jobsite inspections and claim analysis at plant level. Perform root cause analysis for reported issues ... the field. Maintain communication with main lab at Parsippany to track claims , elaborate reports, and lead improvement projects associated with customer claims… more
- NTT DATA North America (Boston, MA)
- …will be assigned to conduct pre-payment reviews of medical records for healthcare claims in one or more of the following areas: (1) Partial Hospitalization and ... efficient in requesting records, reviewing documents, recommending outcomes, and coordinating claim dispositions (payment or denial) within the SIU and with internal… more
- US Tech Solutions (Monroeville, PA)
- …+ Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with ... offices, third party payers, patients and/or their responsible parties and claim processors. + This position requires work within several different operating… more
- US Tech Solutions (Monroeville, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with Omnicare pharmacy ... offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating … more
- Hannaford (North Conway, NH)
- …and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc. in accordance ... over the counter items. * Maintain a broad understanding of HBC MPP scheduling system . * Assist in data entry of MPP information. * Maintain attendance and vacation… more