- Nuvance Health (Danbury, CT)
- …submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. ... Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims... claims . Rebilling & follow-up of all delinquent claims . 3. Responds to all patient and payer inquiries,… more
- Providence (OR)
- …update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible ... specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of… more
- CVS Health (Plymouth, MN)
- …plan setup, compliance, and seamless processing across Customer Service, Claims , Enrollment, Billing, and Reporting functions. **Key Responsibilities:** + Review, ... reporting. **Required Qualifications:** + 3+ years of experience in healthcare (Quality, Claims , or Plan Build preferred). + Experience with various data systems… more
- Sedgwick (Orlando, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... 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
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- …management and accurate completion of Section 8 voucher processing and special claims review. Approval of monthly vouchers, submit approved vouchers and tenant data ... for those payments. - Accurate completion of Section 8 Vouchers and special claims for assigned portfolio. - Ensures the financial performance and integrity of the… more
- Select Medical (Canonsburg, PA)
- …As a key part of our team, you'll help resolve outstanding insurance claims , ensuring our patients are billed accurately and without unnecessary impact. We're ... team member, you'll independently work on resolving unpaid insurance claims while contributing to our collective goal of accurate...21 days old in order to confirm that clean claims are reaching the correct payor. + Make outgoing… more
- Fair Haven Community Health Care (New Haven, CT)
- …Haven prides itself on efficient billing services including the filing of claims , appeals processing, authorizations, and, above all, a great passion for helping ... review and encounter posting + Prepares and submits clean claims to various insurance companies either electronically or by...either electronically or by paper when necessary + Work claims and claim denials to ensure maximum reimbursement for… more
- UGI Corporation (King Of Prussia, PA)
- …access agreements. + Litigation: Assist on discovery responses, filings for small claims , managing internal litigation docket and review filings as necessary, state ... anti-trust compliance. Assist with Attorney General complaint response letters and small claims court matters. + General Commercial: Work with commercial lawyers on… more
- Guidehouse (Minneapolis, MN)
- …this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity ... coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse...of CCI, MUE and Medical Necessity edits applied to claims . + Proficiency in determining accurate medical codes for… more
- Addiction Recovery Care (Lexington, KY)
- …supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on ... Key Responsibilities + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim… more