- Commonwealth of Pennsylvania (PA)
- …process is conducted in a timely manner. You will employ your conflict resolution skills to manage grievance processes by thoroughly investigating claims , ... as a Human Resource Analyst 1 or Equal Opportunity Specialist 1 (Commonwealth job titles or equivalent Federal Government...policies, practices, and collective bargaining agreements, and implementing a resolution or settlement to the issue. + B. I… more
- University of Rochester (Albany, NY)
- …include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, ... by effectively managing the assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert on team functions and… more
- HCA Healthcare (Nashville, TN)
- …areas predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked ... or must be rerouted to another responsible party for research/ resolution + Escalates alert/edit resolution issues as...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- Cummins Inc. (Orlando, FL)
- …GPP Database Link (https://cummins365.sharepoint.com/sites/CS38534/) **Job Summary:** Technical specialist and primary customer support contact to diagnose ... etc Completes required documentation, such as service worksheets, timesheets, warranty claims , quality documents via handwritten forms or business system input… more
- Robert Half Accountemps (Van Nuys, CA)
- …and address billing discrepancies. + Communicate with insurance companies to expedite claims resolution and payment collections. + Ensure compliance with ... Description Are you a skilled Medical Billing Specialist with expertise in denials management and insurance...in all billing activities. + Prepare and submit accurate claims to insurance carriers. + Monitor and analyze accounts… more
- Bozeman Health (Bozeman, MT)
- …billing function for Bozeman Health and all related entities, including claims submission, follow-up, and denial management. The supervisor supports staff in ... maintaining accuracy and timeliness in claims processing to maximize reimbursement. Additional responsibilities include developing...queues to ensure timely and accurate claim follow-up and resolution . + Develops and leads the QA program in… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- State of Colorado (Denver, CO)
- …for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... provider payment and prior authorization issues, ensuring identified problems find resolution through automation, increased data sharing, and strategic upgrades to… more
- Prime Therapeutics (Bismarck, ND)
- …This role is responsible for mentoring and training the Eligibility Specialist . **Responsibilities** + Serves as subject matter expert representing eligibility on ... clients and department projects; monitors eligibility mailbox and Prime Resolution daily, participates in workstream meetings, assists with providing information… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and external audits (SOX, PWC, functional audits) with data investigation, documentation, and resolution of claims . + Collaborate with the Rebates team to ... for sales and customer incentives and profitability analysis. The specialist is responsible for doing analysis of accounts, using...reconcile discrepancies between rebate claims and chargeback indirect sales. + Identify and escalate… more