- The County of Los Angeles (Los Angeles, CA)
- …evaluations, appraisals of promotability, status changes, and disciplinary actions. Maintains a system of item control as a check on the number of allocated ... this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with the… more
- Sedgwick (Cincinnati, OH)
- …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Sets up and enters new claims into claims management system . + Inputs and reviews ... PURPOSE OF THE ROLE:** To provide support to the claims staff and to perform other office tasks depending...notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;… more
- State of Minnesota (St. Paul, MN)
- …policy,rules,laws,andrequirementsas they relate to paymentofclaimsadjudicated through the Medicaid claims processing system . + An understanding of ... to utilize healthcare, accounting, law enforcement and/or criminal justice system experience to combat waste, mismanagement, misuse, and fraud... claims processing operations, claims forms, edits, and coding structures sufficient to understand… more
- Elevance Health (Indianapolis, IN)
- …research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Actalent (Norwood, MA)
- …and denial management workflows. Key Responsibilities: + Review and analyze outstanding claims from the legacy system . + Identify and categorize denials ... to assist with the clean-out of a legacy billing system . This role will focus on reviewing, managing, and...appeals to insurance companies. + Follow up on appealed claims to ensure resolution and payment. + Document all… more
- Covenant Health Inc. (Knoxville, TN)
- …in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, ... patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position… more
- City of Bellingham (Bellingham, WA)
- …an office environment at a computer workstation using different desktop computer systems , a multi-line telephone system and extensive radio communications ... other business/educational software preferred. + Experience using multi-line phone systems preferred. + Previous experience in public safety dispatching preferred.… more
- Intermountain Health (Broomfield, CO)
- …details and save back-up as appropriate. Balance payments to deposits in systems and applications. Post all payments to patient accounts, using both electronic ... and manual posting systems + Research, validate and make adjustments to payment...+ Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)… more
- CareFirst (Baltimore, MD)
- …CareFirst's contracted in-network providers including independent professional practices, health systems , hospitals, and ancillary providers across all lines of ... experience. **Experience:** + 2 years experience with CareFirst computer systems (or comparable technology platforms), networks, products, policies, and procedures,… more
- Washington Headquarters Services (VA)
- …operations, maintenance, repairs, alterations, and emergency work for utility systems on the Pentagon Reservation including the Facilities Related Control ... Systems (FRCS). Serving as the Subject Matter Expert (SME)...QUALIFY? You MUST provide transcripts to support your educational claims . Education must be accredited by an accrediting institution… more