- University of Washington (Seattle, WA)
- …drugs and 340B Pilot Program drugs. * Review and correct rejected claims ; resubmit transactions within required weekly deadlines. * Reconcile rebate payments, ... document reversals and underpayments, and support appeals for denied claims . * Track program performance and prepare monthly rebate-capture reports. * Maintain… more
- PCI Pharma Services (Philadelphia, PA)
- …and follow up with CAPA's. + Assist in management of workers compensation claims . Assist in the completion and/or review of incident investigations to help coach ... a team. + Ability to display original thinking and creativity. + Experience in EHS and claims management a plus. + Degree in or working towards a degree in EHS a… more
- Enviri Corporation (King Of Prussia, PA)
- …bond rights on customer projects and prepare and file notices, liens and bond claims as required. * Review new accounts for credit worthiness run Dun & Bradstreet ... construction industry or trades required **Prior knowledge of filing payment bond claims and reviewing and executing mechanics liens waivers** Clean Earth offers… more
- LA Care Health Plan (Los Angeles, CA)
- …within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to ... claims or member services any file that is a duplicate to one already processed in the system; appropriately documenting what information was used in making this… more
- Covenant Health Inc. (Knoxville, TN)
- …hour calculations and observation charge entry in STAR. + Performs delayed claims to determine appropriate number of Observation Hours as applicable. Adjusts charges ... changes affecting utilization management as applicable. + Assists with delayed claims review to determine appropriate number of observation hours as applicable.… more
- 32BJ Benefit Funds (New York, NY)
- …their dependents. The team focuses on leveraging over 10 years of medical claims data, provider data and pricing data (internal and external) to inform improvements ... other modern data architecture patterns + Prior exposure in the healthcare claims data industry preferred Soft Skills (Interpersonal Skills): + Outstanding verbal… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please… more
- Penn Medicine (Philadelphia, PA)
- …and accurate coding, the Practice Coding Specialist I will help ensure claims are properly coded and reimbursed for professional and facility services. ... guidance on requirements. + May also review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures performed. +… more
- UIC Government Services and the Bowhead Family of Companies (Huntsville, AL)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please… more
- Robert Half Finance & Accounting (Brentwood, TN)
- …* Ensure correct recording and management of patient payments and insurance claims . * Execute month-end closing procedures with accuracy and timeliness. * Support ... Proficiency in creating accurate journal entries. * Knowledge of healthcare billing, claims , and insurance processes. * Strong analytical skills with attention to… more