- State of Colorado (Adams County, CO)
- …construction quality assurance, contractor payment processing, writing contractor claims for adjustments and disputes, handling contract terminations, closing ... design projects. FIELD SURVEY Performing topographic surveys and field data reduction. DESIGN CONSULTANT MANAGEMENT Develops scope of work...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …be documented with current status and strategy to bring claim to closure. Compile claims data and update logs, tracking and trending reports and communicate ... time ( on -site ) Monday - Friday The AR Billing and Collection Representative II is responsible for analyzing assigned past due accounts and coordinating between… more
- NJM Insurance (Parsippany, NJ)
- …activities and tasks in the claim systems, as required, in order to support claims management and data collection. Ensure that any guidelines and documentation ... (ODG and/or MCG). + Conduct second level review of PIP Post-Service/Payment Appeals to assess prior determination and new records, including treatment, Independent… 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
- Saratoga Hospital (Saratoga Springs, NY)
- …entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with employees and PFS ... What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited...and staff satisfaction. + Serve as a positive, professional representative of our hospital and community. What You Bring… more
- State of Colorado (Denver, CO)
- …a customer service role related to health insurance, health care operations, insurance claims and billing, collections, or a field related to the work assignment ... and use additional discoveries, interpretations, and application and to improve data , materials, equipment, applications and methods. CONDITIONS OF EMPLOYMENT: + All… 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 ... and drug assistance. Regularly assesses updated information regarding insurance data , authorizations, and preferred providers. Track free drug assistance to… more
Recent Jobs
-
Contact Center Recruiter
- Mass Markets (Mesilla, NM)
-
Transport Paramedic
- HCA Healthcare (Gainesville, FL)
-
Associate Director, New Student & Family Experiences
- Texas State University (San Marcos, TX)
-
Residential Counselor
- Rise Life Services (Riverhead, NY)