- LogixHealth (Dania Beach, FL)
- …follow-up experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, and denial reasons + Proficiency in EHR ... of benefits (EOB) statement + Review A/R (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on claims that require… more
- LogixHealth (Dania Beach, FL)
- …follow-up experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, and denial reasons + Proficiency in EHR ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on ...perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10%… more
- Pacific Medical Centers (Renton, WA)
- …programs to enhance results. You will serve as the principal PMC representative on the national USFHP Alliance Operations Committee, driving regular reporting and ... data analysis to support division functions and reporting to...and ensure adherence to financial targets. + **Integrity and Appeals Manager:** Oversee the integrity program and appeals… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... claim review team work, with a particular emphasis on claim and data management, claim assessment, knowledge management and training coordination. Working closely… more
- PeaceHealth (Vancouver, WA)
- …Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement ... **Essential Functions** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. + Identifies trends in billing and follow-up, in… more
- MTA (Brooklyn, NY)
- …Operating Authority, which includes the New York State Department of Labor claims processing, hearings, appeals , adjournments, remands and quarterly audits. ... tasks are performed correctly and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review NF claims … more
- Iowa Department of Administrative Services (Cedar Rapids, IA)
- …contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... UI laws. + Provide information to customers for UI appeals as needed. + Prepare and participate in all...obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative… more
- State of Colorado (Limon, CO)
- …projects, estimating project costs, developing project schedules, analyzing design data , generating official reports, developing designs and documenting design ... maintaining risk registers, developing agendas and minutes, coordinating information and data handoff between Specialty Units, ensuring proper filing of critical… more
- The Institute for Family Health (New Paltz, NY)
- …to senior representatives such as mailing paper claims , preparing spreadsheets for appeals , or maintaining data spreadsheets as directed by the manager (s). ... standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and collections and… more
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