- BrightSpring Health Services (Phoenix, AZ)
- …for data entry. + May produce reports and keep management informed of unpaid claims and claims pending follow-up. + Processes prescriptions by triaging and ... school diploma or equivalent. + Experience in pharmacy data entry and adjudication ; experience in LTC setting; prior leadership experience. + Knowledge of Medicaid… more
- State of Arkansas (Fort Smith, AR)
- … Claims Processing, UI Benefits Hotline, UI Correspondence, Automated Adjudication Systems (AAS) Benefit Accuracy Measurement (BAM), Contributions, and other ... UI Administration, and other UI units - including UI Claims Processing, UI Benefits Hotline, and UI Correspondence -...units regarding individual claims or issues found. + Processing documents for imaging.… more
- Community Health Systems (Antioch, TN)
- …The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with ... critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines.… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF) has ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- Community Health Systems (Franklin, TN)
- …The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with ... critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines.… more
- Beth Israel Lahey Health (Charlestown, MA)
- … claims generation and reconciliation, remittance posting processes, retro adjudication and router actions, this position requires an advanced-level knowledge of ... changes in support of all Epic Resolute Professional Billing, Claims , Remittance, and Router applications including ongoing production maintenance, upgrades,… more
- Customs and Border Protection (New Orleans, LA)
- …team of homeland security professionals responsible for the initiation and/or adjudication of civil liabilities arising from seizures, penalties, prior disclosures, ... immigration carrier fines, and claims for liquidated damages. Typical work assignments include: Performing legal support work arising from seizures, penalties, and… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge 'white glove' ... working in an inbound call center, handling medical benefits, claim adjudication , third-party billing, and/or provider issues. + Previous experience in coaching,… more
- R1 RCM (Boise, ID)
- …enabling faster, more accurate reimbursement and moving the market toward real-time claim adjudication . R1's reach and data give your work uncommon leverage - 180M+ ... Foundry Ontology & Object Views for revenue-cycle entities (encounters, claims , denials, payments), designing abstractions that downstream applications and agents… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Responsible for ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, and documenting related ... insurance payer codes regarding incomplete information necessary for proper account/claim adjudication . + Analyze and interpret patient account information; ensure … more