- Robert Half Legal (Pennington, NJ)
- …background, particularly in healthcare litigation, and a proven ability to manage claims and collaborate effectively within legal and billing teams. ... * Investigate and manage cases involving unpaid or denied claims from auto insurance carriers. * Represent the organization...owed. * Collaborate with internal teams, including legal and billing , to address complex claim issues. * Conduct detailed… more
- WellSense (NH)
- …liaison between Provider Relations Consultants and internal Plan departments such as Claims , Benefits, Audit, Member and Provider Enrollment and Clinical Services to ... **Key Functions/Responsibilities:** + Investigate, document, track, and assist with claims resolution + Interact with various operational departments to assure… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Services policies and procedures, independently performs administrative duties related to billing , to include but not limited compiling data, generating claims ... completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. + Submit claims to payers… more
- Molina Healthcare (Buffalo, NY)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ ) * Prepares, tracks ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of...days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and… more
- GE Appliances, a Haier company (Louisville, KY)
- …+ Support case and document management for insurance and direct claims , workers' compensation, administrative, regulatory, and investigatory matters, as well as ... + Track the status, deadlines, and budgets for assigned cases and claims . + Manage document preservation, collection, and production in coordination with counsel.… more
- Robert Half Accountemps (Boca Raton, FL)
- …basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position ... medical documentation to identify coding discrepancies and ensure accuracy in billing practices. * Collaborate with healthcare providers to clarify documentation and… more
- Robert Half Accountemps (Burlington, NC)
- …and financial processes, who are passionate about maintaining accurate accounts and resolving billing issues. You will play a key role in ensuring timely payments, ... managing claims , and contributing to the overall efficiency of our...of outstanding payments. * Handle inbound calls related to billing inquiries and provide clear, accurate responses. * Administer… more
- Catholic Health Services (Melville, NY)
- …activities. Responsibilities: + Reviews, corrects and approves all primary and secondary billing , submits hard copy or electronic claims to appropriate payors. ... + Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims ,...electronic billing submissions and corrects and resubmits claims , as required. + Verifies accuracy of patient insurance… more
- Robert Half Accountemps (Scranton, PA)
- …play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. ... * Perform multi-specialty coding with precision to ensure timely submission of claims . * Coordinate with clinical teams to address claim appeals, denials, and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …systems this individual will have deep expertise in includes Resolute Hospital and Professional Billing including SBO, as well as Claims and Remittance. This IT ... Billing including SBO (certification highly preferred) + Epic Claims and Remittance experience and/or certifications highly preferred + Epic Security… more