- NJM Insurance (Parsippany, NJ)
- …(ODG and/or MCG). + Conduct second level review of PIP Post-Service/Payment Appeals to assess prior determination and new records, including treatment, Independent ... review and determination. + Recognize cases/requests/issues that require consultation with medical, claims , legal staff in order to determine the best approach. +… more
- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to...resolve payment and denial issues. * Writes and submits appeals to payors on denied accounts. * Audits payments… more
- TEKsystems (Michigan City, IN)
- …Hours: M-F Onsite, 8AM-5PM CST Skills Customer Service Insurance Verification/Follow-Up Claims and Appeals Experience Medical Billing Medical Collections ... Description The Employee/Occ Health Representative is responsible for managing client relations, a variety of employee health duties various occupational health… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Financial Services department. What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited to, eligibility and ... and documents, entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with employees and… more
- Avera (Mitchell, SD)
- …complex insurance authorizations directly. Responsible for the coordination of level II appeals with oversight from the appropriate medical staff. + Work with ... Facilitate resolution of patient billing issues which may include appealing denied claims . . Work in collaboration with the patient, insurance, and business office.… more
- Guardian Life (Bethlehem, PA)
- …and key resource for day-to-day tier 3 escalations related to eligibility, enrollment, and claims . This includes but is not limited to: + Overseeing the Field ... Representative billing process and collaborating with internal stakeholders and...(BAC), reviewing, researching, presenting, and responding to administrative plan appeals . + Processing all health, welfare, and wellness vendor… more