- University of Southern California (Alhambra, CA)
- The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system** **Handles Paper claims processing including proper documentation of accounts with higher level of ... all claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem.** **Identifies and researches… 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 ... May transfer secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and… more
- City of Lakeland (Lakeland, FL)
- …claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a ... billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- ICW Group (TX)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... and employers to get additional information. + Communicates claim activity and processing with the injured worker and insured. + Maintains professional client… more
- MyFlorida (Bay Pines, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... vet center as needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans' Affairs. This task… more
- MyFlorida (Lake City, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... vet center as needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans Affairs. This task… more