- Primary Health Care (Des Moines, IA)
- …timely and accurate submission, payment posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and conducts the training and ... party payers, government agencies and fiscal intermediaries to effectively file claims , research and resolve rejections and denials. Completes daily and monthly… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ... home). Key Responsibilities: + Review and analyze modifier 25 claims and related documentation for accuracy and compliance. +...in medical coding, with a focus on modifier 25 claims . + Strong understanding of coding guidelines, regulations, and… more
- CareFirst (Baltimore, MD)
- …measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and ... groups during proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice Transformation Consultants,… more
- HCA Healthcare (Jacksonville, FL)
- …codes. You will be responsible for daily charges, preparing and submitting claims to third party payers, applying contractual adjustments, credit balance reviews and ... adjustments + You will monitor logs to make sure claims are submitted and received properly + You will...submitted and received properly + You will correct rejected claims and re-bill in a timely manner + You… more
- Insight Global (South Jordan, UT)
- …is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are ... for valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available.… more
- Robert Half Finance & Accounting (Auburn Hills, MI)
- …renewals with brokers and carriers to secure optimal terms. * Oversee claims management, ensuring efficient resolution and maximizing recoveries. * Monitor changes ... insurance solutions with organizational goals. * Deliver detailed reports on costs, claims , and risk trends to senior management. * Strengthen internal policies and… more
- Elevance Health (San Juan, PR)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other ... example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance companies to resolve rejections interpreting… more
- Sedgwick (Dublin, OH)
- …experience. Risk control experience preferred. **Skills & Knowledge** + Knowledge of claims management processes and procedures + Knowledge of risk control in an ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Toyota (San Juan, PR)
- …the remarketing process. + Maintain repossession inventory and total loss claims at or below established objectives. Monitor the repossession inventory behaviors ... retail auto sales. + Closely monitor the total loss claims to assure it is working effectively and based...the REPO inventory aging, loss recovery and total loss claims to ensure established objectives are followed consistently. Analyze… more