- Bozeman Health (Bozeman, MT)
- …Provides information regarding available patient assistance programs. Assists in the claims denial process for insurance carriers and develops an appropriate appeals ... ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: In addition to… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- **Overview** **Job Summary:** The Revenue Cycle Management Specialist is to support the process of the company's billing function. **Responsibilities** **Job ... third party payersandobtainauthorizations as + Assist inthe preparationand submissionof claims for paymentfromthird party payers,andinvoices forpatientco-payments. + Support theresolutionofbilling… more
- Trinity Health (Albany, NY)
- …a medical practice. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical ... Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary. + Responsible...all billed services are submitted to insurances as "Clean Claims " + Works within the working queue to review… more
- Sedgwick (Miami, FL)
- …& Insurance Adjuster General National **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- TEKsystems (Louisville, KY)
- …Louisville, KY About the Role Join our team as an Medical Collector and Claims Specialist, where you'll play a key role in ensuring accurate and timely processing ... of insurance claims . This position is perfect for detail-oriented professionals who...correct claim errors, then resubmit promptly. + Accounts Receivable Management : Review AR reports daily and follow up on… more
- Cardinal Health (Lansing, MI)
- …their distribution channels, ensuring broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely ... and accurate processing of ATSP claims for CGT treatments. + **Compliance:** Ensure all contracting...with different health care stakeholder types) + Strong time management to enable prompt follow up to any payor… more
- AON (Fort Washington, PA)
- …program, including preparing account data for claim handling and remitting 1st reports of claims in a timely and accurate manner to our carrier partners. + Perform ... Health insurance license - preferred + Proven record of claims reporting and carrier interface on claims ...hires that candidate. Nothing in this job description restricts management 's right to assign or reassign duties and responsibilities… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports… more
- The Hartford (Hartford, CT)
- …and support for policy issuance and certificate fulfillment. + Support quality management program for policy issuance. + Research and respond to compliance and ... forms accordingly + Partner with clients, underwriting, actuarial, CCST and claims to develop customized solutions including single case filing to meet… more
- State of Montana (Helena, MT)
- … & Tort Defense Division (RMTD) provides comprehensive and cost-effective risk management programs, insurance coverage, claims adjudication services, and legal ... and regulatory conditions, continues to drive demand for risk management skills. The field of risk management is dynamic and growing, with a strong demand for… more
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