- Johns Hopkins University (Middle River, MD)
- …a more senior specialist. **Specific Duties & Responsibilities** + Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal. + ... third-party payers. + Appeals reflected claims and claims with low reimbursement. + Performs claim ...Ability to use various billing and patient information computer systems preferred. + Knowledge of various payer processing and… more
- Port of Seattle (Seattle, WA)
- …internal auditing personnel. + You will ensure the claims record management system interfaces with multiple internal and external systems to provide accurate ... the State of Washington. You will act as the System Administrator of the Origami claims management...will participate in and support auditing activities by providing claim records and material as requested by external regulators… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL ACCOUNTING SYSTEMS TECHNICIAN Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4809345) Apply PRINCIPAL ACCOUNTING SYSTEMS ... once we have enough qualified candidates. DEFINITION: Supervises professional accounting systems analysis work in connection with the review, development, and… more
- GE Vernova (Schenectady, NY)
- …and KPIs to stakeholders and leadership. + Support audits, documentation reviews, and system updates as required for claim records and compliance. **Required ... (NAM) region. In this role, you will manage warranty claims with a focus on reducing cycle time, ensuring...and drive process improvements. + Knowledge of ERP or claim tracking systems is preferred (eg, SAP,… more
- Robert Half Office Team (Greenville, SC)
- …in medical claims administration, including familiarity with billing functions and claim adjudication. * Experience with EHR systems such as Allscripts, ... claims to identify and rectify billing errors, duplicate claims , and unbundling issues. * Manually correct system...management when required. * Utilize electronic health record (EHR) systems and other software tools to support claims… more
- Mount Sinai Health System (New York, NY)
- …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Elevance Health (Cincinnati, OH)
- …knowledge: Provider selection logic; Provider setup configuration and roster loading/automation, claims system knowledge; external claim (EX) reviews/fixes; ... **Business Architect Sr. - Provider Systems ** **Location:** This role requires associates to be...Care and other provider-based root-cause investigations leveraging intimate provider system and business process knowledge to audit system… more
- Travelers Insurance Company (Las Vegas, NV)
- …necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely ... you do and where you do it. **Job Category** Claim , Nurse - Medical Case Manager **Compensation Overview** The...to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as… more
- Medical Mutual of Ohio (OH)
- …to resolve systems issues.** **Responsibilities:** + Analyzes existing processes and system functionality; assesses needs of user and optimizes system data ... for meetings in Brooklyn, OH monthly; Ohio residents preferred. **Financials Systems Analyst III** **Job Summary:** **Under general supervision, updates and… more
- Henry Ford Health System (Troy, MI)
- …with both internal and external customers. + Familiarity with Healthcare EHR / Claim Systems (ie EPIC or similar), preferred. + Understanding of legal, ... averages, comparing to Government fee schedules and analyzing existing healthcare ( claims ) data and reimbursement terms and payment methodologies; with the goal… more