- SUNY Morrisville (Syracuse, NY)
- …competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic ... Health Records (EHR) and claim submission + Compliance, HIPAA, and fraud prevention +...HIPAA, and fraud prevention + Reimbursement methodologies and payer systems Prepare students for the AMBA CMRS certification exam,… more
- Elevance Health (Indianapolis, IN)
- …visits, referral practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network… more
- State of Georgia (Fulton County, GA)
- …Have excellent computer skills to learn and work in the Agency's Integrated Claims Management (ICMS) system + Monitors effectiveness of compliance operations, ... reading and editing documents; preparing documents; understanding and navigating computer claim files + Provides select program oversight which includes interaction… more
- UNC Health Care (Smithfield, NC)
- …all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- Interior, Bureau of Indian Affairs (Towaoc, CO)
- …you must enter 60 months, 4 years would be 48 months, etc. Otherwise, the system may screen you out. All qualification requirements must be met by the closing date ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- New York State Civil Service (New York, NY)
- …and assign and upload to appropriate application in Cannabis License System . *Process and complete preliminary review of Unreasonably Impracticable licensing ... claims coming into municipal inbox.*Respond to requests if additional...additional information is required.*Track and assign OGC staff to claim for further review and determination.*Assist with the coordination… more
- Geisinger (Danville, PA)
- …available cases were coded and entered into the hospital and professional computer system correctly and initiates Claim Action Reports as necessary. + Develops ... providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and… more
- State of Colorado (CO)
- …thorough as possible in documenting your education and work history in the application system . Attachments will not be accepted or considered during any phase of the ... to maintain a neutral third party role in investigating claims , assuring all parties a fair opportunity to be...(B) to produce decisions efficiently, to meet the Division's claim closure requirements and assure that parties to disputes… more
- Interior, Bureau of Indian Affairs (Fort Totten, ND)
- …you must enter 60 months, 4 years would be 48 months, etc. Otherwise, the system may screen you out. All qualification requirements must be met by the closing date ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- TORKLAW (Chicago, IL)
- …Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in strategic ... optimal outcomes. + Deadline Tracking: Implement and maintain a robust tracking system , ensuring no milestones or deadlines are missed. + Medical Treatment… more