- US Bank (St. Paul, MN)
- …attention to detail, the ability to retain knowledge and learn new forms of claim processing to assist other areas as necessary. Basic Qualifications - High school ... Skills/Experience - Basic knowledge of products, services, terminology, policies, procedures, and systems related to assigned area, as well as applicable laws and… more
- CenterWell (Asheville, NC)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Actalent (Des Plaines, IL)
- …essential role, you'll: + Accurately enter patient enrollment data into pharmacy systems . + Submit eligibility requests to identify insurance coverage for new ... patients. + Troubleshoot and resolve pharmacy claim rejections for both new and refill prescriptions. +...+ Document all actions and findings in the operating system . + Collaborate with admissions and pharmacy teams to… more
- Interior, Bureau of Indian Affairs (Everett, WA)
- …practical knowledge of a wide range of social casework, family therapy, systems theory and community organization; direct provision of child welfare services, ... providing counseling services; developing and maintaining a formalized case management system which documents the workflow of case services with individual case… more
- Novant Health (Bolivia, NC)
- …every dimension, every time, and understands how to contribute to the health system 's vision of achieving that commitment to patients and families. Work Schedule: ... in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor....for billing and insurance questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution… more
- The Cigna Group (Austin, TX)
- …CPT, ICD9, HCPC preferred + Understanding of managed care business processes, data, systems , and applications for claims payment, enrollment, benefit design, and ... through every stage of life. We guide our customers through the health care system , empowering them with the information and insight they need to make the best… more
- Dignity Health (Long Beach, CA)
- …regulatory requirements for patient safety are fully met. You will participate in system office initiatives and programs to mitigate identified risks which result in ... adverse patient outcomes, and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders to implement learnings… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more
- American Water (Norristown, PA)
- …federal state and local regulations. * Provide assistance and expertise in accident/ claim investigation and claims management, when required, and make ... expects to invest $40 to $42 billion in infrastructure repairs and replacement, system resiliency and regulated acquisitions over the next 10 years. The company has… more
- UPMC (Washington, PA)
- …fashion which coincides with the service management philosophy of UPMC Health System , including the demonstration of The Basics of Service Excellence towards ... corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies… more