- Robert Half Accountemps (Los Angeles, CA)
- …in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm accuracy and ensure they are sent to the appropriate ... resolve discrepancies, including reversing balances when necessary. * Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow...team members when needed + Supporting of staff / supervisor to be successful and work as a team… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …its parts. Under direct supervision of the department manager or supervisor , the Specialist, Pharmacovigilance is focused on meeting ConnectiveRx's obligations for ... of the Manager, Pharmacovigilance. Sources may include recorded calls, claims , faxes, text messages, chat logs, and other records....or healthcare environment (preferably in a call center or claims processing). + Medical call center or medical … more
- BJC HealthCare (St. Louis, MO)
- …**Responsibilities** + Completes accounts receivable insurance collections and follow-up on claims to expedite payment from assigned insurance companies. + Contacts ... insurance companies regarding claims , updates account information, and completes basic administrative tasks on accounts. + Completes necessary follow-up tasks in a… more
- The Hartford (Stamford, CT)
- …both technical accounting and cash accounting + Partner with IT and Claims departments on various transformation projects, including ACORD e-messaging enablement + ... to inquiries Requirements: + Proven working experience as Accounting Manager, Accounting Supervisor or Finance Manager; experience managing remote teams is a plus +… more
- Nuvance Health (Danbury, CT)
- …submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. ... claim submission. 2. Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims . 3. Responds to… more
- Ellis Medicine (Niskayuna, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's codes and charges ... the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements:...Work closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well ... Must be able to create and maintain required databases as determined by supervisor . + A strong understanding of physician charge practices and billing methodologies… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …+ Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. + Complete… more
- University of Southern California (Newport Beach, CA)
- …to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift. + Follow-up on outstanding authorization ... needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +...area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref… more