- Bon Secours Mercy Health (Newport News, VA)
- …care is delivered! Be part of our growing organization that will deliver customer -centric care with the dedicated support of Bon Secours Denbigh, Virginia! ... work quickly and safely + Helps complete worker's compensation claims + Reduces the risk of future issues +...must obtain from approved source prior to direct patient care ) (required) **Education** + Associate 's from an… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- Trinity Health (Livonia, MI)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Mass Markets (Mesilla, NM)
- …Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), ... ourselves as a trusted partner in the industry. The Associate Director is responsible for the management and development...competitive edge + Develop and maintain strategy on ensuring customer satisfaction on all sales transactions + Analyze and… more
- Children's Mercy Kansas City (Kansas City, MO)
- …and external customers, researching account and/or payment issues, generating medical claims , addressing guarantor's concerns about their accounts that is received ... Responsibilities + May be assigned to process payments, adjustments, claims , correspondence, refunds, denials, financial/charity applications, and/or payment plans… more
- Henry Ford Health System (Troy, MI)
- …comfort or your own home? In this position you will be providing exceptional customer service to assist patients with their medical bills via phone. We pride ... service center inquiries via phone, fax, email, or mail to assist the customer in understanding their patient responsibility. Strives for first contact resolution in… more
- Point32Health (MA)
- …to perform the job** **Certification and Licensure** **Education** + Required (minimum): Associate 's Degree or equivalent experience in health care , conflict ... + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or...customer service or member services representative in health care or insurance + Preferred: 2 years' Appeals and… more
- Walmart (Memphis, TN)
- …and follow up on urgent customer requests Respond to internal and external customer calls related to orders claims damages billing issues etc by researching ... **Position Summary ** **Are you currently a Walmart associate ?** Please login to your Workday account and...software report issues and status to manager leader or customer throughout the troubleshooting process Install monitor maintain and… more
- The Institute for Family Health (New Paltz, NY)
- …but are not limited to the following: 1. Self-pay/Sliding Fee 2. Managed Care Plans 3. Medicaid 4. Medicare 5. Commercial Plans 6. Payment/denial posting ... on a daily basis for denials and short paid claims . + Reviews and processes all Explanation of Benefits...in the management of information. + Observes the Health Care System's compliance policies. + Participates in the development… more
- Actalent (Cary, NC)
- … care by effectively managing insurance communications, processing pharmacy claims , and assisting with various projects. Responsibilities + Recognize and ... providers when Biologics cannot serve the patient. + Appropriately process pharmacy claims in Biologics MIS. + Recognize and understand pharmacy claim responses. +… more