- BrightSpring Health Services (Christiansburg, VA)
- …career progression! We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides… more
- UCLA Health (Los Angeles, CA)
- …team and support accurate and timely processing of inpatient and outpatient claims . This role requires expertise in billing guidelines, customer service, and appeals ... role, you will: + Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing...Knowledge of MS Word and MS Excel software UCLA Health welcomes all individuals, without regard to race, sex,… more
- Nuvance Health (Danbury, CT)
- …for designated groups of accounts by payer.i? 1/2i? 1/2Insures that all claims are compliant with State and Federal billing regulations and contractual ... 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
- 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
- Mass Markets (ND)
- …as a trusted partner in the industry. We are seeking a Spanish-speaking Licensed Health Insurance Agent. As a key member of our team, you will be responsible ... for providing exceptional service to clients, assisting with health insurance inquiries, and guiding customers through the process of selecting and enrolling in … more
- Humana (Springfield, IL)
- …care or managed care experience working with providers (eg, provider relations, claims education). + Experience working with physical health providers, ... **Become a part of our caring community and help us put health first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals (Physician and LTSS)… more
- Walmart (Plainfield, IN)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... 401(k) match, stock purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more. + Multiple health plan options, including… more
- Providence (Portland, OR)
- …optimization of enterprise-wide payment integrity initiatives. You will ensure accurate claims payment and reduce financial leakage, playing a critical leadership ... Management:** + Lead all aspects of vendor relationships related to claims editing, including operationalizing new vendor solutions. + Negotiate and manage… more
- CareFirst (Baltimore, MD)
- …client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Reviews and resolves complex ... + Maintains customer service objectives by monitoring daily operations; resolving claims that require manual review or technical support, enrollment or billing… more
- TEKsystems (Austin, TX)
- Description Epic PB/PB Claims : + Ticket Backlog Resolution + Review, analyze, and resolve outstanding tickets related to professional billing and claims ... detailed documentation of resolution steps and communicate effectively with requesters + Claims Workflow Support + Support end-to-end professional billing claims … more