- Carle Health (Urbana, IL)
- …improve revenue cycle activities for prior authorizations, documentation, billing and claims . Understands regulatory and third party payer guidelines for admissions, ... healthcare trends in authorization, insurance verification and benefits, reimbursement, claims denials, and hospital/clinical management + Identifies, discusses, plans… more
- Elevance Health (Indianapolis, IN)
- …complex provider issues and appeals for prompt resolution. + Coordinates prompt claims resolution through direct contact with providers and claims department. ... Locations: California; Minnesota. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,..._._ * The salary range is the range Elevance Health in good faith believes is the range of… more
- Mount Sinai Health System (New York, NY)
- …for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality ... day to day risk management activities the Mount Sinai Health System (MSHS)., The Clinical Risk Manager conducts investigations...Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation… more
- Hawaii Pacific Health (Honolulu, HI)
- Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other ... Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health , pediatric care, cardiovascular services, cancer care, bone and joint services and… more
- Elevance Health (New York, NY)
- …via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands and responds to the needs and expectations of… more
- Elevance Health (Houston, TX)
- …via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands and responds to the needs and expectations of… more
- Banner Health (AR)
- …with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition ... Find out how we're constantly improving to make Banner Health the best place to work and receive care....to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Henry Ford Health System (Troy, MI)
- …This includes but is not limited to: Coordinating timely and accurate claims submission for adjudication Coordinating and developing timely denial follow up ... to prevent denials. Oversee follow up to ensure all claims are resolved or responded to by the payers....duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the...and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews… more
- Henry Ford Health System (Detroit, MI)
- …including areas such as hospitalization, professional services, pharmacy, home health , rehabilitation, DME and organ procurement limitations. + Coordinate the ... queues in Epic to assist in the processing of claims . + Serve as a resource to inform patients...duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more