- Guthrie (Sayre, PA)
- Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and ... tertiary claims reviews and analyzes claims for accuracy,...work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....optimize key performance in collections in this area. Resolves system edits; unpaid and denied insurance/client accounts, resulting in… more
- Saint Francis Health System (Tulsa, OK)
- …applicable software. Strong knowledge in Epic, including basic reporting tools, system navigation, and workflows. Basic knowledge of insurance payer portals for ... eligibility and claim status. Knowledge of healthcare regulatory requirements. Strong organizational...as denial rates, Accounts Receivable (AR) days, and clean claim rates. Conducts root cause analysis and provides data… more
- Molina Healthcare (Salt Lake City, UT)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… more
- Montana State University (Bozeman, MT)
- …Postdoctoral Fellowship - Development of Innovative Airborne Communication Systems Brief Position Overview The Spectrum Lab (https://spectrum.montana.edu/index.html) ... The postdoc will focus on developing and deploying novel communications systems that leverage advanced computing, tethered balloons, and UAVs (Uncrewed Aerial… more
- Highmark Health (Dover, DE)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... information system . + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …and Simulation Engineer + RADAR Systems Engineer + RADAR Systems Spectrum Engineer + System Testing Engineer/Scientist **Qualifications** + Bachelor's ... **Overview** Sensor Systems Engineering and Technical Support (SSETS) Landing Page...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Commonwealth of Pennsylvania (PA)
- …maintenance, or repair of industrial, commercial, or institutional utility plant systems and related equipment; or + An equivalent combination of experience ... or repair of industrial, commercial, or institutional utility plant systems and related equipment. Other Requirements: + You must...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Methodist Health System (Dallas, TX)
- …patients. You will be responsible for administering the Methodist Health System Benefits Plans Plan and supporting day-to-day benefits administration, the bi-weekly ... by assisting employees with inquiries and issues related to Methodist Health System 's Benefit Plans, acting as a liaison between employees and external insurance… more
- Atlantic Health System (Newton, NJ)
- …Job Function 3 - Processing prescriptions through the insurance plan and resolving claim issues, Contact patients when medications are not available (back order or ... retail pharmacy experience (2+ years) preferred. At Atlantic Health System , our promise to our communities is; Anyone who...we are one of the leading non-profit health care systems in the nation. Our facilities and sites of… more