- OhioHealth (Columbus, OH)
- …medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims , works payer rejections and denials. This position ... practices regarding information needed or to obtain status of insurance claims . **Responsibilities And Duties:** Performs accurate review, analysis, and correction… more
- Trinity Health (Howell, MI)
- …codes submitted by service departments and physicians to assure accuracy for claims submission and adjudication of reimbursement. Verifies insurance eligibility ... Interviews patients and gathers information to assure accurate and timely claims submission. Interprets information collected to determine and create comprehensive… more
- Insight Global (Tukwila, WA)
- Job Description * The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, including ... Infusion and Pharmacy Services business lines. * Responsibility also entails adjudication of infusion and related claim information specific to health insurance… more
- Family Dollar (Chesapeake, VA)
- …- _Major purpose and functions of the position._ The People Solutions Specialist will be responsible for supporting a consistent, values-based associate experience ... concerns or repeated violations appropriately. + Oversee and complete pre-employment adjudication processes following company, state, and federal employment laws and… more
- Department of State - Agency Wide (Washington, DC)
- …supports high-volume posts in need of additional nonimmigrant visa (NIV) adjudication capacity, reviewing and adjudicating nonimmigrant visa applications that are ... gained in work such as developing, examining, investigating, adjudicating, or authorizing claims arising under the immigration and/or nationality laws of the United… more
- 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,… more
- Actalent (Cary, NC)
- …possible outcomes through meticulous benefits investigation, prior authorization support, and claims adjudication . Responsibilities + Locate and enter accurate ... Job Title: Patient Access Specialist - Rare/OrphanJob Description Join our team as...patient profiles by processing eligibility checks and adjudicating pharmacy claims . + Adjudicate claims and troubleshoot rejections… more
- Ardon (Portland, OR)
- …software system work queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans, ... any identified obstacles or improvements to workflow to operational leadership. Troubleshoots adjudication issues and is well versed in the nuances of insurance… more
- MyFlorida (Miami, FL)
- …THIS IS AN OPS POSITION TITLE: OPS MEDICAL DISABILITY CASE RECORD SPECIALIST POSITION LOCATION: MIAMI/DADE COUNTY POSITION #: 64858448 SALARY: $18.40/Per hour Your ... records management activities relating to Social Security and Medically Needy disability claims . This includes receipt from the Social Security field offices and… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …the Insurance Specialist Team to ensure optimal management filing insurance claims , denial management and adjudication according to LBJI contracts. Essential ... + Review accounts receivable reports daily + Research unpaid and denied insurance claims in an expeditious manner to ensure account resolution and claim payment +… more