- Genesis Healthcare (Philadelphia, PA)
- …Specialist plays a critical role in meeting business goals by managing claims /bills production according to payer and regulatory requirements to assure correct ... *Audit the accuracy of demographic information in the Billing System to ensure clean billing and prompt payment. *Direct...independent decisions on the next steps needed to ensure claims are paid timely to ensure cash flow for… more
- Kemper (West Palm Beach, FL)
- …and shops. + Issue payments on appropriate claims as well as document claims system and communicate with inside adjusters. + Work with other appraisers to ... position will also assist in the processing of Total Loss claim documentation. Position Responsibilities: + Receive electronic appraisal assignments, through… more
- Prysmian (Mckinney, TX)
- …specified territory categorized by Encore Independent Sales Representatives + Resolve pricing claims / deductions by requesting and / or validating customers debit ... memos against the support in the system while working directly with our customers and Encore...+ Work with QC / Shipping / Sales on claims and when necessary, schedule pick-up of requested return… more
- South Middlesex Opportunity Council (Framingham, MA)
- …the electronic health record. + Reconcile and resolve issues related to claims submissions, research and resolve eligibility issues, including contact with clients ... outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies. + Assist in resolving overdue... and resolve discrepancies. + Assist in resolving overdue claim problems. + Run reports and gather data as… more
- CVS Health (Baton Rouge, LA)
- …regulatory updates are operationalized. This role requires a thorough knowledge of claim adjudication, internal MAC & non-MAC related processes, and being a leader ... science, and information technology. + Execute process improvements and system enhancements, including coordinating activates across diverse departments and ensure… more
- The County of Los Angeles (Los Angeles, CA)
- …you list on a questionnaire and assign a score based on a standardized scoring system . This part of the assessment is worth 100% of your total score and assesses: ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with… more
- City of New York (New York, NY)
- …departmental requirements. - Oversee Revenue Analysts to ensure accurate analysis of claims data, claim submissions and reports are processed timely based ... financial documentation to support revenue plans; preparing and submitting revenue claims ; preparing financial reports to various New York State departments, the… more
- The Cigna Group (Morris Plains, NJ)
- …NCPDP guidelines; Point of Sale; Coordination of Benefit ("COB"); manual submitted claims processing; retail pharmacy network system ; CA-7 Scheduler; Endeavor; ... solutions for multiple concurrent projects within an application family such as Claims , C&PS, or CS&DW. + Creates detailed specifications or designs, conducts… more
- HCA Healthcare (Pensacola, FL)
- …apply now. What you will do in this role: + You will transmit claims to billing vendors, process/ correct insurance rejects, process re-bills, and work unbilled ... and update required information, insurance requirement edits, and follow-up on pending claims + You will attach i-bills or implants invoices to paper billing… more
- Bombardier (Wichita, KS)
- …Complete process and administrative activities: electronic filing of invoice with OEM's for claims , complete work order tracking system updates and close the ... work order + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing payments) + Support the research for end Customer… more