- Adecco US, Inc. (Mesa, AZ)
- …behavioral claims . The Medical Collector will also follow up on unpaid claims without response to initial or subsequent billing . The Medical Collector will ... payer denials according to timely filing guidelines: * Acts to resolve all claims issues and discrepancies including denials and credit balances. * Resubmits voided… more
- Nuvance Health (Danbury, CT)
- …claim submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual ... and compliant claim submission. 2. Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims .… more
- Robert Half Accountemps (Farmingdale, NJ)
- …billing experience in Modernizing Medicine! Responsibilities: * Process and manage medical billing tasks, ensuring all claims are submitted accurately and in ... * Utilize electronic medical records systems to maintain and update patient billing information. * Communicate with insurance companies and patients to address … more
- Nuvance Health (Danbury, CT)
- …on a daily basis and performs timely follow-up. 2. Confirms electronic and hard-copy billing of any delinquent claims . Rebills and follow-ups of all delinquent ... monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable functions. Responsible for the assigned… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …skills, and a commitment to delivering excellent service. Responsibilities: * Review denied claims and apply current coding and billing practices to resolve ... you will play a vital part in maintaining accurate records, processing claims , and ensuring timely communication with insurers and patients. This position requires… more
- State of Georgia (Fulton County, GA)
- …college or university and two (2) years of professional job-related experience in accounting, billing , and collection systems or claims ; or two (2) years of ... professional job-related experience in general accounting, billing , and collection systems and/or claims ; or one (1) year of experience at the lower level… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Management, Case Management and operational procedures, Medical and Payment policies, claims processing, insurance and regulatory requirements, billing and ... a wide variety of stake holders to analyze high-cost claims and members, evaluate clinical trends, and formulate business...with various business units including teams across HMM, Sales, Claims Operations, Finance, and Legal. * This position is… more
- Elevance Health (Seattle, WA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Elevance Health (Atlanta, GA)
- …process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing ); or any combination ... as AWS, GCP/CDP or Azure preferred. + Pharmacy Benefit Management Experience, Claims Experience, Experience reviewing data in Data warehouses strongly preferred. For… more
- Community Health Systems (Franklin, TN)
- …in Health Information Management preferred + 1-3 years of experience in medical billing , revenue cycle, or claims denials and appeals processing required + ... **Knowledge, Skills and Abilities** + Strong knowledge of payer guidelines, medical billing practices, and appeal processes. + Proficiency in relevant software and… more