- Independent Health (Buffalo, NY)
- …related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. ... information as it relates to Independent Health's obligation for claim payment and follow New York State Rules &...systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental deadlines… more
- SimIS Inc. (Suffolk, VA)
- …sensors, UAS, tunnel detection systems , and ground-based sensors. The Systems Engineer develops system architectures, performs integration analysis, and ... mobile systems , tunnel detection, and ground-based sensors + Create System Interface Control Documents (ICDs) to ensure interoperability between disparate … more
- Naval Sea Systems Command (Dahlgren, VA)
- …software architectures and/or designs for a modernization effort occurring across the weapon control system . You will learn our systems and work to utilize that ... or software components or the modification of an existing system . You will be asked to lead systems...individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit… more
- Johns Hopkins University (Middle River, MD)
- …specialists as appropriate. **Specific Duties & Responsibilities** + Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal. + ... will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various...payment has not been received in response to the claim 's submission process, either electronically or by paper. Will… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR SYSTEMS ARCHITECT - CLOUD (NAUT): Bowhead seeks a Senior Systems Architect - Cloud to support our customer on the Nautical contract in the ... of Defense applications while driving strategic migration of legacy DoD systems to secure cloud environments. **Responsibilities** + Lead architectural design and… more
- Methodist Health System (Dallas, TX)
- …coding, payer-specific requirements, and CMS guidelines for physician services. + Systems : Epic experience required; experience with denial management systems ... + Certifications: Certification through HFMA, AAHAM, or Epic (PB Resolute or Claim Edit) required for new hires; encouraged for incumbents. Your Job… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The System Associate Vice President (AVP) Revenue Cycle- Patient Financial Services will oversee ... system -wide leadership of back-end revenue cycle functions to drive...of hospital and medical group revenue cycle functions following claim submission. This role is responsible for ensuring accurate… more
- Community Health Systems (Franklin, TN)
- …state, and organizational guidelines. As a Collections Specialist II at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our ... providing guidance on legal collections procedures when applicable. + Resolves claim denials and payment discrepancies, working with payers and internal revenue… more
- UNC Health Care (Chapel Hill, NC)
- …outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works physician claims ("professional billing"). + Maintains A/R ... and provide suggestions for resolution to management, including payer, system or escalated account issues. + May maintain data...escalated account issues. + May maintain data tables for systems that support PB Claims operations. +… more
- Trinity Health (Farmington Hills, MI)
- … claims billed, paid, settled, and follow-up in appropriate system (s). Identifies and escalates issues affecting accurate billing and follow-up activities. ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer… more