- Molina Healthcare (Meridian, ID)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
- Johns Hopkins University (Middle River, MD)
- …of medical billing applications. + Utilize online resources to facilitate efficient claims processing . _Professional & Personal Development_ + Participate in ... Specialist_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Molina Healthcare (Tucson, AZ)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- US Tech Solutions (Myrtle Beach, SC)
- …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... Type** : High School Diploma or equivalent + **Required Work Experience:** Experience processing , researching and adjudicating claims + **Experience:** 1 year of… more
- Sedgwick (Chicago, IL)
- … claims and executes technical and jurisdictional requirements for accurate claims processing , benefit review and interpretation of regulations, financial ... state, military, and company-specific leaves, accommodations, disability and statutory claims . Provides excellent customer service displaying care and empathy...payment processing , and… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... contract language to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract terms are being adhered to in… more
- Aston Carter (Austin, TX)
- …for the Reality Labs division. The role is integral in managing dispute claims processing and deduction management within a fast-paced finance environment. ... strong collaborative relationships. + Contribute to process improvements and automation in claims processing and deduction management. + Monitor dashboards, SLA… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation,...billing and processing program claims for accuracy and completeness; submit claims … more
- US Tech Solutions (Myrtle Beach, SC)
- …equivalent. + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's Degree in lieu of work ... after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards.… more
- Covenant Health Inc. (Knoxville, TN)
- …communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal and ... and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for billing and follow-up functions for… more
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