- HCA Healthcare (Las Vegas, NV)
- …accurate demographic and insurance information to ensure accurate coding, billing and claims submission. **What you will do:** + You will be responsible for ... endoscopy. Our physicianshave received many accolades including "Top Doctors", "Top Physicians", " Specialist of the Year","Top 10 Doctors" and more. Our center is… more
- The County of Los Angeles (Los Angeles, CA)
- …work on difficult cases on a regular basis, serve as technical specialist , and provide guidance to orthopedic technicians, exercise independent judgment, assist in ... documents, and performance evaluations in order to assist our review of your qualifications. Additional Information EXAMINATION CONTENT This...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- State of Massachusetts (Roxbury, MA)
- …interactive interviews utilizing the agency's PC based eligibility system. Obtain, review , verify, and process client information and determine eligibility. Provide ... guidelines. Report all Domestic Violence issues to the appropriate Domestic violence specialist immediately. Ensure all clients are made aware of ADA services… more
- University of Rochester (Rochester, NY)
- …FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical ... coding guidelines. + Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction… more
- New York State Civil Service (NY)
- …as required in meetings with Board and DOCCS staff concerning the review and development and/or modification of Department policies, procedures and programs. 5. ... Board of Parole. This includes, but is not limited to, analyzing the claims , records and decisions involved, preparing written analyses, and communicating with the… more
- Sherman Associates, Inc. (Minneapolis, MN)
- …align with organizational values and business priorities. + Supports the annual review process, provides training and communication with managers and employees, and ... Sherman Associates at appeal hearings when needed. + Ensures worker's compensation claims and programs are administered effectively to reduce injuries and costs to… more
- Dragonfly Health (Mesa, AZ)
- …improve provider onboarding and training. + Monitor provider operations including claims , billing, redelivery issues, and service standards. + Maintain CRM records ... onboarding and training of new Provider Services team members. + Serve as a specialist for non-core business lines and large accounts. + Provide weekend coverage on… more
- Akumin (Tampa, FL)
- …various areas of the RCM such as Billing, AR Follow-up, Denial Review , Payment Integrity/Underpayment, and Payment posting. **Specific duties include, but are not ... includes producing monthly reports, reviewing data during meetings, monitoring denied claims , analyzing trends, and updating clients on future regulatory changes. +… more
- WellSpan Health (York, PA)
- …- Reviews and conducts QA checks on the applications prior to medical director's review . - Reattests provider information every 120 days in CAQH. - Runs reports and ... + 2 years Relevant experience. Required + Hospital/physician office/insurance claims or credentialing experience. Preferred **Licenses:** + Certified Provider… more
- Ochsner Health (New Orleans, LA)
- …throughout the patient care process. + Strong leadership skills **Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. ... difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and… more