- NYU Rory Meyers College of Nursing (New York, NY)
- …Experience:7+ years relevant professional level experience in a claims processing environment.Preferred Experience:Experience working in an ... Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare… more
- Capgemini (New York, NY)
- …like Kubernetes Deep knowledge of insurance workflows including policy issuance claims processing and customer servicing Exposure to enterprise integration ... design and development efforts for digital servicing policy management and claims platforms **Key Responsibilities:** Define architecture for responsive secure and… more
- CTG (CA)
- …and support decision-making. + Monitor key performance indicators (KPIs) related to claims processing , denials, collections, and reimbursements. + **Training & ... + Strong understanding of hospital revenue cycle processes, billing, coding, claims , and reimbursement; with a previous focus on behavioral health.… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. ... submitted by service departments and physicians to assure accuracy for claims submission. Communicates with patients their financial responsibility, benefit and… more
- Emperical Foods (Dakota Dunes, SD)
- …+ Ensure proper tagging, location assignment, and production readiness for all inventory items. Claims Processing & Resolution + Manage product claims from ... initiation through resolution. + Manually enter purchase orders and claims not automatically captured by scanning systems. + Adjust inventory systems and reconcile… more
- Akumin (TN)
- …role. + Deep expertise in billing systems, revenue cycle management tools, and claims processing . + Demonstrated success leading large teams and managing ... oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization.… more
- Robert Half Accountemps (French Camp, CA)
- …offers an excellent opportunity to lead a team responsible for ensuring accurate claims processing and maximizing reimbursements. The ideal candidate will have a ... compliance standards, and industry updates. * Audit and review claims such as UB-04 and CMS-1500 to ensure accuracy...or coding is a plus. * Familiarity with electronic claims systems such as Epaces and other relevant tools.… more
- City and County of San Francisco (San Francisco, CA)
- …Eighteen (18) months (equivalent to 3,000 hours) of experience billing, claims processing and/or collecting healthcare service reimbursements or medical ... of Public Health. Essential duties include: + Reviews and edits bills and claims to make sure the information is accurate and complete; + Collects payments… more
- CareFirst (Baltimore, MD)
- …physicians and/or ancillary providers as well as knowledge about contracting and claims processing . + Experience in revenue cycle management and value-based ... use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy,...proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and outcomes for reporting purposes. + Collaborate with internal teams (eg, claims processing , provider relations, special investigations unit). + Utilize ... **What you'll do:** + Conduct entry-level audits of professional and facility claims to ensure coding accuracy and compliance with contractual, coding, payment… more
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