- LA Care Health Plan (Los Angeles, CA)
- …multi-departmental (Member Services, Product Network Operations (PNO), Claims , Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales ... and Quality Management (QM)) processes to ensure identification of member's claims of gaps in coverage and resolution of cases for members' satisfaction and of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities ... * Applies clinical experience, health plan benefit structure and claims payment knowledge to pre- service and retrospective reviews by gathering relevant and… more
- Textron (Fort Worth, TX)
- …customers enrolled in Bell's Customer Advantage Plan \(CAP\) and/or handling warranty claims for helicopters and spare parts\. The role involves extensive work with ... Account Manager:** **CAP and Warranty Management:** * Adjudicate CAP and/or warranty claims by approving or denying them, issuing new or reconditioned parts,… more
- Idaho Division of Human Resources (Boise, ID)
- …processing. + Analyze, audit expenditure transactions, including purchasing cards and travel claims . + One of the final reviewers of expenditures, purchasing cards ... and travel claims with a responsibility for ensuring compliance with statute,...job functions. + Analyze and audit the monthly WEX billing , report and payment. + Analyze and audit the… more
- Southwest Nursing Center (Fort Worth, TX)
- …billing procedures. * Audits bills for accuracy and assist as assigned with billing corrections. * Files initial and final claims accurately and within ... and in accordance with professional accounting practices and governmental. * Prepares billing documents in accordance with State and Federal rules and regulations… more
- University of Utah Health (Salt Lake City, UT)
- …should possess an in depth understanding of accounts receivable collections, transplant billing and collection processes, grants, corporate billing and account ... manage delinquent accounts. + Develops and manages escalation pathways for unresolved claims or payer disputes. + Implements process improvements for admissions, … more
- Curtiss-Wright Corporation (Paramus, NJ)
- …policies, systems, methods and procedures for effective management and control of the billing function. (20%) + Performs analysis and assists in a variety of ... billing activities including but not limited to, managing the...similar items. (20%) + Maintains AR/AP records, cash receipts, claims and overdue invoices and prepares related journal entries.… more
- HCA Healthcare (San Antonio, TX)
- …research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit, ... reports to leadership + Works with team members in billing , revenue integrity and/or the Medicare Service Center to...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the… more
- Cedars-Sinai (Torrance, CA)
- …supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing ... and submitting claims to third party payors, performing account follow-up activities,...of regulatory requirements, payor contracts and CSHS policies governing billing and collections and sound interpretation of same. Incumbents… more
- Robert Half Management Resources (Richmond, VA)
- …Direct and manage all aspects of the revenue cycle process, including billing , collections, cash posting, refunds, and monthly reporting. * Identify opportunities ... processes to enhance cash flow, reduce outstanding accounts receivable, and improve billing accuracy. * Lead and implement changes in systems, team structures, and… more
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