- Elevance Health (AL)
- …Specialist II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claim audits collections, overpayment vendor validation, and ...Analyze comprehensive data sources such as COB Smart, HEW, claims , and membership data to verify coverage and resolve… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …payor organizations, external business or clients ensuring timely payment. + Complete claim denial management functions to ensure timely follow-up with denied ... claims and complete root causes analysis to determine ways...responsibilities. + Complete administrative appeals and escalation of outstanding claim issues with payor organizations. + Communication of accounts… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …payor organizations, external business or clients ensuring timely payment. + Complete claim denial management functions to ensure timely follow-up with denied ... claims and complete root causes analysis to determine ways...responsibilities. + Complete administrative appeals and escalation of outstanding claim issues with payor organizations. + Communication of accounts… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and ... ensuring it is correctly reflected on submission of the claim . They register new patients in the system, including...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Independent Health (Buffalo, NY)
- …related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. ... interpret basic COB information as it relates to Independent Health's obligation for claim payment and follow New York State Rules & Regulations, NAIC Guidelines,… more
- U-Haul (Phoenix, AZ)
- …a Workers' Compensation Manager to supervise a team of injury counselors and ensure claims are handled in accordance with state laws and company claim standards. ... involves the supervision of staff and the occasional direct handling of tasks and/or claims . This is a fully onsite position located at our corporate campus in… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...are contacted. + Resolves complex, high dollar, and specialized claim resolution issues due to coordination of benefits, eligibility… more
- Robert Half Finance & Accounting (New York, NY)
- … claims to ensure effective resolution and settlement. + Monitors claim -handling performance, supervising the Claims Manager to ensure efficient operations. ... service agreements with brokers, presenting recommendations for approval to the HSO. Claims and Administrative Oversight + Works alongside Finance and Legal teams to… more
- Commonwealth of Pennsylvania (PA)
- …(SWIF), Financial Management Division. Take your skills to the next level through claims and policy accounting duties that help our team provide a quality workers' ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....for an interview and need accommodations due to a disability , please discuss your request for accommodations with the… more