- Abound Health Group, LLC (Charlotte, NC)
- …This role is responsible for various duties related to authorizations, billing claims , posting payments, and collecting accounts receivable. Our team's goal is to ... department (alternate). Qualifications: + 1+ years of experience in claims handling, healthcare billing, accounts receivable, aging reports, and/or posting… more
- Sysco (Honolulu, HI)
- …product complaints with potential for food safety issues and to support the Claims Process with Sysco's 3rd party claims administrator. Frequently interacts with ... (Sales, Merchandising, Operations to collect data for Sysco's legal team during claims issues to ensure relevant purchase and sales records are provided. Maintains… 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 ... payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds as needed according… more
- Fair Haven Community Health Care (New Haven, CT)
- …Haven prides itself on efficient billing services including the filing of claims , appeals processing, authorizations, and, above all, a great passion for helping ... entry, documentation review and encounter posting + Prepares and submits clean claims to various insurance companies either electronically or by paper when necessary… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by ... ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF)… more
- CVS Health (Hartford, CT)
- …Investigates to prevent payment of fraudulent, abusive, or otherwise improperly billed claims submitted by providers, members, and others - Facilitates the recovery ... skills with Microsoft Excel - Experience in healthcare/medical insurance claims investigation or professional/clinical experience - Background with law enforcement… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with providers, negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing, ensure accurate and timely ... payment of claims , and identify areas for cost reduction. COMPLIANCE AND...religion, ethnic or national origin, gender, genetic information, age, disability , sexual orientation, gender identity, gender expression, and veteran's… more
- Guidehouse (El Segundo, CA)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... CA or El Segundo, CA offices and three days from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow team members when needed +… more
- Centene Corporation (Lansing, MI)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- CVS Health (Olympia, WA)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability , protected veteran status, or any other characteristic protected by… more