- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...business experience, preferably in a healthcare setting; **or** an Associate 's degree and at least 6 months of business… more
- Kemper (Doral, FL)
- …to the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or ... SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit.… more
- Polk County Public Schools (Bartow, FL)
- …maintaining a risk management program for all phases of School Board operations , using a combination of conventional insurance and self-insurance programs, as ... Reviews and audits all policies and invoices for payment of premiums/ claims . Investigates and reviews accidents involving School Board personnel, students, and… more
- LA Care Health Plan (Los Angeles, CA)
- …or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Community Health Systems (Fort Smith, AR)
- …Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy, compliance, and timely resolution. This role ... discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams… more
- Access Dubuque (Dubuque, IA)
- …+ Maintain detailed and accurate claim records, documentation, and communications in the claims system. + Partner with Safety, Maintenance, Operations , and Legal ... is responsible for independently managing a broad range of physical damage claims for the company's fleet, including trucks, trailers, and other equipment. This… more
- CareFirst (Baltimore, MD)
- …for offsite audits/investigations and interviews when requested. Research provider/subscriber claims activity, operations manuals, data systems, medical ... of financial business records, provider and subscriber medical data, claims , systems report, medical records, analysis of contract documents, provider/subscriber… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... efficiency, and regulatory adherence in all mental health billing operations . Medical Billing Specialist III ( $ 25.99 -...incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* Responsible for the daily operations of an Accounts Receivable (AR) Follow Up team, tasked with timely ... collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare… more
- Uniland Development Company (Amherst, NY)
- …responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more