- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …this job: SUPERVISOR, CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing , Claims , Provider Relations, Benefit Operations, Network Administration, ... and access to grow your career **POSITION PURPOSE** Resolves benefit and claims inquiries received via the telephone, in person, or other acceptable receipt… more
- Levi, Ray & Shoup, Inc. (Springfield, IL)
- …experience: + 7+ years of experience with Guidewire Administration Systems (Policy, Billing , or Claims ). + Demonstrated technical leadership experience in ... mentoring other engineers. + In depth knowledge of Guidewire policy center, billing center and Claims Center + Must have a Guidewire Cloud Certification + Proven… more
- Elevance Health (San Juan, PR)
- …by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and ... 2 years experience with the company in an enrollment and billing , claims and/or customer contact automated environment (preferably in healthcare or insurance… more
- Ontario ARC (Canandaigua, NY)
- …programs meet regulatory standards and run efficiently. In this role, you'll audit billing claims , review Individual Service Plans, conduct site visits, and ... with their community. Responsibilities + Internal auditing of programs and billing claims to include aspects of compliance with documentation, accuracy of… more
- Alameda Health System (San Leandro, CA)
- …(scheduling, registration, and referral coordination and revenue cycle operations ( billing , claims , denials, authorizations, registration related edits, ... . Access - scheduling, registration, and referral coordination. Revenue - billing , claims , denials, authorization, and registration impact Determines access… more
- Molina Healthcare (NE)
- …made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and ... **Job Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been… more
- ZOLL Medical Corporation (Bethlehem, PA)
- …is provided to intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all ... of patients indicated for a WCD and all essential ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports… more
- UHS (Binghamton, NY)
- …payment mechanisms. Demonstrates knowledge and understanding of the process of billing , claims processing and receivable follow-up. Primary Department, Division, ... and ICD-9/10 Terminology Preferred: + Prior experience in hospital third party billing practices and telephone contact + Experience with data base software,… more
- Mohawk Valley Health System (Utica, NY)
- …and consistent manner, also in partnership with HR. Financial Management: + Oversee billing and coding processes, including insurance claims and patient ... multitasking abilities, with keen attention to detail. + Proficiency in medical billing software and electronic health records (EHR) systems. + Knowledge of… more
- Mount Sinai Health System (New York, NY)
- …preferred). + EPIC certification(s) in relevant RCM modules (eg, Resolute Professional Billing , Hospital Billing , Claims , Contract Management) strongly ... & Innovation** 1. Identify automation opportunities across registration, coding, billing , denial management, and patient collections to reduce manual work… more