- Hartford HealthCare (Manchester, CT)
- …data as required. Researches and resolves reasons for insurance and Medicare claim denials, initiates needed code and billing corrections when appropriate to ensure ... verbal skills, basic computer and keyboard skills for use of the Meditech system . * Customer service. * Experience in meeting deadlines in fast paced multitasking… more
- San Antonio Behavioral Health (San Antonio, TX)
- …admissions and extended hospitals stays. Completing data collection of demographics, claim and medical information; non-medical analysis; and outcomes reporting. May ... status (inpatient, outpatient short stay, observation status) so that the appropriate claim can be submitted to commercial and government payers. + Complete short… 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, ... serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes...a conceptual level) including but not limited to computer systems and software, information security, healthcare systems ,… more
- Covenant Health Inc. (Crossville, TN)
- …Crossville, Tennessee is part of Covenant Health, East Tennessee's largest nonprofit health system and a Becker's "Top 150 Places to Work in Healthcare." Fully ... compliance findings including state surveys, eg, EMTALA. Actively participates in system activities to support shared learning and regulatory compliance throughout… more
- Hartford HealthCare (Farmington, CT)
- …become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of ... and our departments now work on behalf of the system as a whole, rather than a single member...Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents… more
- Hartford HealthCare (Farmington, CT)
- …become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of ... and our departments now work on behalf of the system as a whole, rather than a single member...Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents… more
- Walmart (Shrewsbury, MO)
- …3: 1 year's experience in one of the following areas: accounting, claims , inventory control, systems /UPC, personnel, or loss prevention/asset protection in ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- LA Care Health Plan (Los Angeles, CA)
- …Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) authorization ... workflows and prior authorization metrics. Knowledge of claims operations, including receiving, adjudication, and provider dispute resolution. Knowledge of clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …acumen transforming complex, multi-domain data (membership, encounters, providers, claims , quality metrics) into interpretable and actionable insights used ... Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) authorization… more
- GE Aerospace (Evendale, OH)
- …lifecycle of construction projects. You will draft and negotiate contracts, manage claims and disputes, provide risk guidance during project execution, and support ... accelerations, differing site conditions, payment applications, lien issues, and closeout. + ** Claims & Disputes:** Support the resolution of claims , REAs, and… more
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