- Cognizant (Dover, DE)
- …that will involve research of member benefits, eligibility, provider contracts, billing and coding, Utilization Management and state Medicaid policies. **Basic ... years of Appeals and Grievance 1 Year of medical claims processing experience (Must be with a healthcare plan,...Service with managed care plans or directly with CMS Billing and Coding-Medical Insurance Knowledge of Member/Provider Appeals and… more
- HCA Healthcare (Pensacola, FL)
- …services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, ... will do in this role: + Work insurance pools and contact insurance companies to resolve claims that are not paid in a timely manner. + Review EOB's, remits and payer… more
- Aston Carter (Salem, OR)
- …systems and track key performance indicators (KPIs). + Identify coding and billing risk areas, conduct targeted reviews, and recommend corrective actions. + ... delivering actionable feedback to physicians and coders. + Proficient in EHRs, billing systems, and related applications. + Strong analytical skills with expertise… more
- Elevance Health (Los Angeles, CA)
- …by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and ... + Requires a BS/BA; 2+ years related experience in an enrollment and billing , claims and/or customer contact automated environment (preferably in healthcare or… more
- Robert Half Finance & Accounting (St. Louis, MO)
- …and reconcile freight claims with carriers. * Review and validate weekly billing reports from carrier portals to ensure accuracy. * Handle billing and ... receivable processes. * Familiarity with purchase orders, freight billings, and freight claims is preferred. * Previous experience in the manufacturing industry is a… more
- HCA Healthcare (Nashville, TN)
- …services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, ... Lead Data Analyst, you will become a subject-matter specialist in database and claims analysis who actively participates in the development and implementation of new… more
- HCA Healthcare (Nashville, TN)
- …services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, ... edit, review, or otherwise support concise clinical evaluations for disputed claims through review and assessment of denial reconsideration documentation, payer… more
- US Physical Therapy (Decatur, GA)
- …between providers and insurers. Your role will also be critical in our billing and claims department with collections of patient balances, managing denials ... A/R. **Responsibilities:** + Work closely with patients to resolve billing and payment issues. + Research and resolve discrepancies...authorizations + Follow up with insurance companies on unpaid claims and denials. + Assist with Answer phones and… more
- Walmart (Freeport, IL)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... compliance execution by others. Ensures appropriate operational execution of billing procedures, HIPAA compliance adherence, and standard operating procedures (SOP).… more
- BrightSpring Health Services (Centennial, CO)
- …Specialist also performs quality assurance checks for all medical and PBM billing documentation before submission and notifies the RCM Ancillary Services management ... . Schedule: Monday - Friday 7am-3:30pm MST *Competitive Pay *Health, Dental , Vision & Life Insurance *Company-Paid Short & Long-Term Disability*Flexible Schedules… more