- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access, Email,… more
- Fairview Health Services (Minneapolis, MN)
- …Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts for documentation, ... established procedures to support day-to-day operations Process home infusion claims accurately and timely. + Review accounts for all...add information needed to ensure proper billing. + Screen claims on-line or on paper for accuracy + Obtain… more
- UTMB Health (Galveston, TX)
- …Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital ... claims . Identifies billing issues affecting hospital and/or physicians claims /accounts and takes necessary action to ensure timely and appropriate claim filing.… more
- St. Luke's University Health Network (Allentown, PA)
- …Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network ... DUTIES AND RESPONSIBILITIES: + Process all UB04 and HCFA-1500 claims through the related billing system, working the related... through the related billing system, working the related claims scrubber in a timely and efficient manner; performs… more
- AON (IL)
- …is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance Claims System) application to support business processes in reinsurance and insurance ... claims management. The role involves configuring the application, troubleshooting...+ Understanding of (Re)insurance across key areas of underwriting, claims and accounting + Understanding of the different types… more
- VetsEZ (PA)
- …care teams, payers, and providers to improve how patients experience care, how claims are processed, and how care coordination is managed across the continuum. By ... we enable smarter decisions, seamless patient engagement, and more efficient claims management. Together, we are shaping a healthcare ecosystem that delivers… more
- South County Hospital (Wakefield, RI)
- …new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related issues ... + Prepare and present reports and data related to risk, patient safety, claims , and regulatory compliance to committees, leadership, and medical staff. + Manage the… more
- Unum Group (Chattanooga, TN)
- …the essential skills, knowledge, and behaviors necessary to successfully resolve assigned claims , in accordance with Unum's claims philosophy, policies and ... discretion and independent judgment. The Benefit Specialist Trainee should provide timely claims decisions and strong customer service prior to advancing to the… more
- Intermountain Health (Salem, OR)
- …Essential Functions* Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. ... incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves… more
- EFI Global (St. Paul, MN)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported...and concise manner in depositions and trials.** **Maintains assigned claims files in a confidential manner; documents all relevant… more