- BronxCare Health System (Bronx, NY)
- …maintaining and furthering a positive public perception of BronxCare Health System and its employee. 2. Describe responsibility:Contributes to and participates in ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Scotland Health Care System (Laurinburg, NC)
- …part-time opportunity. Qualifications: + Prior experience in medical billing, insurance claims , or a related field (behavioral health experience preferred). + ... reasons and submitting appeals when appropriate. + Monitor and track insurance claims , payments, and outstanding balances to ensure timely reimbursement. + Maintain… more
- Henry Ford Health System (Detroit, MI)
- …the resolution of assigned work queues in Epic to assist in the processing of claims . + Serve as a resource to inform patients and their families of the Transplant ... Work in support of the Transplant Institute financial area to review outstanding claims , underpayments, and single case agreements. + Serve as a resource relating to… more
- Elevance Health (Norfolk, VA)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + ...required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops and… more
- Elevance Health (Middletown, NY)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- CVS Health (Blue Bell, PA)
- …and share results of analysis with management. + Reserve Analysis: Analyze claim data and monitor reserve levels for appropriateness and demonstrate an understanding ... Develop and finalize business requirements and/or specifications for processes, tools, and systems . You will gain valuable work experience and participate in: +… more
- KPH Healthcare Services, Inc. (Greensboro, NC)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- TEKsystems (Littleton, CO)
- …large volumes of patient claims with a target of 1.5 minutes per claim , contributing to a monthly throughput of approximately 4,000 claims . + Navigate ... a detail-oriented and highly efficient Charge Entry Clerk to support our fast-paced Claims Team. This role is critical in ensuring accurate and timely processing of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more