- ConvaTec (Massapequa, NY)
- …some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance ... Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . +...or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance explanation of benefits.… more
- Breakthru Beverage Group (Tampa, FL)
- …performance and/or compliance Ensure precise fulfillment, adequate inventory levels and accurate claims or vendor notices. + Review forecast data. Address ... delivery dates as needed. Troubleshoot undelivered orders. + Resolve freight claims , unpaid vendor notices and inventory exceptions. Manage unlisted and obsolete… more
- Serco (Herndon, VA)
- …+ Conduct environmental assessments and environmental impact statements + Review and analyze professional architectural/engineering reports and designs or as-built ... including related code and standard requirements + Develop and review cost estimates + Advise FEMA staff on the...+ Advise FEMA staff on the technical validity of claims presented under FEMA's arbitration process + Should arbitration… more
- University of Virginia (Charlottesville, VA)
- …or based on paper documentation. + Monitors, analyzes, and resolves charge review , claim edit, and coding-related denial trends and shares trends with supervisor, ... process improvement. + Reviews and resolves charge sessions that fail charge review edits, claim edits and follow-up work queues, identifies areas of opportunity… more
- YAI (Manhattan, NY)
- …to support automated billing processes and/or transmits or resubmits corrected claims electronically in accordance with applicable agency requirements. + Reconciles ... and Compliance department and/or for any other program or financial audit or review . + Assists with maintaining the Accounts Receivable (A/R) aging for programs,… more
- University of Rochester (Rochester, NY)
- …time and effort of providers. + Finds missing orders and sends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary ... for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature.… more
- University of Rochester (Rochester, NY)
- …the time and effort of providers. Finds missing orders and pends them for review and approval. - Anticipates needs of insurance companies by gathering all necessary ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- Rodenhiser Home Services Inc (Holliston, MA)
- …Big Task Ensures customers' accounts are current and accurate through careful review and effective collections efforts. Key Sub Tasks + Process customer payments, ... about billing discrepancies and questions. Provide paperwork when requested. + Review aging reports regularly and initiate collections on past-due accounts, which… more
- Mount Sinai Health System (Elmhurst, NY)
- **Job Description** Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a ... protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM,… more
- Insight Global (Irvine, CA)
- …with Aderant, Excel, and Pre-Bill Viewer (or similar software) to prepare, review , and submit invoices. Collaboration with attorneys and internal teams is essential ... and compliance. Additionally, you'll monitor and follow up on outstanding insurance claims and payments to support timely revenue collection. We are a company… more