- Affordable Care (San Antonio, TX)
- …control, proper licensure and registration of clinical staff members, and the appropriate billing of dental claims for private as well as government funded ... payors. + Partners with the Chief Compliance Officer to respond to internal and external audits and investigations. + Partners with CCO and Regional Lab Specialist to ensure prosthetics and services meet thequality standards. **Education Requirements** + A… more
- Elevance Health (Indianapolis, IN)
- …process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing ); or any combination ... of education and experience, which would provide an equivalent background. **Preferred Skills:** + Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred. Please be advised that Elevance… more
- Kelly Services (Temple, TX)
- …Revenue and Reporting-VIRR) for documentation clarification. + Collaborate with clinicians and claims staff regarding coding and billing issues. + Maintain an ... accuracy rate of 95% or higher for CPT/HCPCS, E&M, and ICD-10-CM coding, following VHA/VA standards and guidelines (CMS, AMA CPT, ICD-10-CM/PCS, HCPCS). + Complete record coding within 7 calendar days. _ROI Technicians_ + Process requests for release of… more
- Indiana Farm Bureau Insurance (Jasper, IN)
- …and makes policy changes. + Sets up bill accounts and works on other simple billing requests. + Submits claims paperwork that is requested by the claim's ... representatives. + Provides proof of insurance documents that are requested by clients. + May assist with INFB Health Plans. + Any additional duties assigned by management. **Requirements for Success:** + Bilingual in Spanish. + High school diploma or GED… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …business day preferred where possible. Interacts with Operations, Enrollment and Billing , Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs ... and Finance/Underwriting Departments to resolve identified issues. * Assures that all account data is maintained on a timely and accurate basis such as initial account setup, benefit books, summaries, contracts, etc. * Utilizes both standard and custom… more
- Insight Global (Louisville, KY)
- …changes. * Resolution support for benefit service issues such as enrollments, carrier billing , coverage, and claims . * Maintain accurate and up-to-date records ... of all client interactions, benefits plans, and compliance documentation. Client Retention * Maximize client retention by working with clients, carriers, and external partners to resolve issues that may impact the client relationship. * You will proactively… more
- ADP (Louisville, KY)
- …changes. + Resolution support for benefit service issues such as enrollments, carrier billing , coverage, and claims . + Maintain accurate and up-to-date records ... of all client interactions, benefits plans, and compliance documentation. + **Client Retention:** + Maximize client retention by working with clients, carriers, and external ADP partners to resolve issues that may impact the client relationship. + You will… more
- Robert Half Finance & Accounting (Delray Beach, FL)
- …stakeholders. * Maintain confidentiality while overseeing sensitive matters, including medical billing and insurance claims . * Track deadlines, appointments, and ... ongoing projects to ensure timely completion. * Source, negotiate, and manage vendors for property and household needs, such as landscaping, security, and housekeeping. * Conduct inspections, organize preventative maintenance, and ensure systems like pools and… more
- UnityPoint Health (Johnston, IA)
- …patient records, ensuring they are accurate, up-to-date, and confidential. + Process billing and insurance claims , including coding and verifying patient ... information. + Patient Education: + Provide patients with instructions for medications, procedures, and follow-up care. + Educate patients on health management and preventive care. Qualifications + Current Certification as a Medical Assistant - CMA (NCCT, NHA,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …in planning, developing and implementing computer applications, upgrades to coding and billing systems, dictionary databases, claims submission, and other bolt ... clinical Department administrators, physicians/providers, hospital partners/administration, third party intermediaries, billing staff, PFS, and patients. + Initiate researches topics… more