- City of New York (New York, NY)
- …Area Supervisor, who will: - Directly and indirectly supervise staff in Claims processing /establishment of claims /recovery of manual payments/Program ... support. Track and ensure productivity of processing case actions in claims , establishment and imaging or recovery units. - Develop, complete, review and… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and transfers balance… more
- Molina Healthcare (IA)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Molina Healthcare (Omaha, NE)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education**… more
- State of Minnesota (St. Paul, MN)
- …care policy, rules, laws and requirements that allow for submission and reimbursement of claims adjudicated the Medicaid claims processing system. + Resolve ... Working Knowledge of MN DHS Licensed providers + An understanding of claims processing operations, edits, and CPT coding practices sufficient to understand the… more
- Cardinal Health (St. Paul, MN)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of… more
- Intermountain Health (Broomfield, CO)
- …+ **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up on ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Qualifications** + High… more
- Covenant Health Inc. (Knoxville, TN)
- …codes, modifiers, charging units, physician's NPI, and HCPCS/CPT codes, to facilitate claims processing in a timely manner. Identifies trends and investigates ... Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible… more
- Molina Healthcare (Atlanta, GA)
- …Provides leadership and direction to MMS Operational Units management staff (eg, Claims Processing , Provider Services, Provider Enrollment, Finance, Managed Care ... or equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high… more
- Kansas Surgery & Recovery Center (Wichita, KS)
- …Billing Representative + Assist the Patient Financial Services Manager in setting up claims processing and follow-up processes. + Become the Subject Matter ... or GED. Prefer 2-year technical degree or 4-year college degree + Experience processing hospital claims ; prefer experience with Oracle software + Sound knowledge… more