- Naval Sea Systems Command (Pascagoula, MS)
- …marine equipment, weight handling equipment, damage control, Fueling-at-Sea, and coating systems . You will provide inputs to the contractor's and SUPSHIP corrective ... for ship building programs (eg, related to Hull, Mechanical, Electrical Systems inspection; inspection of contractor programs; Interpreting blueprints, drawings, or… more
- Mille Lacs Health System (Onamia, MN)
- …promptly identified, correctly reported, and promptly repaid.* + Ensures accuracy of claims sent. * + Attends educational opportunities to improve knowledge of ... with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be… more
- BronxCare Health System (Yonkers, NY)
- …for claims preparation, validation and submission.Using reports provided by billing system , follow up on unpaid claims , send inquiries to insurers, ... performing necessary research, creating appropriate allowances and write offs and/or rebilling pended or denied accounts. Send self pay bills and/or follow up letters as necessary. Responsibilities Perform all billing, recording or related tasks as assigned by… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . + Participates in the development and implementation of TPL policies and ... Special Needs Trusts, and/or restitution recoveries. + Performs advanced research of claims to identify claims associated with accident-related diagnoses and… more
- St. Luke's Health System (Boise, ID)
- …Utah, and Arizona!** **What you can expect from this role:** St. Luke's Health System is currently seeking a **Revenue Cycle Analyst** to join our team under the ... + Performs basic statistical, cost and revenue analysis using various revenue systems . + Assists with daily, weekly and monthly revenue close, revenue reporting… more
- Mille Lacs Health System (Onamia, MN)
- …refills.* + Enter new/refill prescription order into the pharmacy software system .* + Pick manufactured drug from shelf and fill/label prescription orders.* ... to maintain legal recordkeeping processes + Work with pharmacy software/hardware systems to ensure reliable prescription dispensing.* + Complete and file daily… more
- AmeriHealth Caritas (Newark, DE)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research ... and/or provider appeals and grievance requests, including review of UM/ claim denial reasons, contract/regulatory rules, benefits, and documentation received on… more
- Molina Healthcare (WI)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... + Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. + Resolves and… more
- Sedgwick (Dayton, OH)
- …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and… more
- System One (NH)
- …communications, and ensure that good customer relations are maintained, and customer claims and complaints are resolved fairly, effectively and in accordance with ... support requested product/case info. Aid Reps with data entry into RepSuite/WebOps system as needed. Support Sales Department by providing answers to questions… more