- AdventHealth (Apopka, FL)
- …Day One - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... + Trains new hires to the department on prescription data entry, claims adjudication and patient record management processes, offering ongoing support Qualifications… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- Molina Healthcare (Louisville, KY)
- …communicating statuses and risks, and facilitating calls with cross-functional teams + Claims processing , provider contacting, health data analysis and ... encounter pend and rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as… more
- Covenant Health Inc. (Knoxville, TN)
- …Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed. + ... communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal and… more
- Trinity Health (Meridian, ID)
- …team. Duties include works in a team environment and is responsible for efficiently processing claims and payments to ensure an accurate and timely revenue ... forms as needed, accessing information and translating data into information acceptable to the claims processing system, and preparing claims for return to… more
- Highmark Health (Lincoln, NE)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... provider office or related industry **Preferred** + Experience in processing Blue Card, Local and FEP claims ...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Bozeman Health (Bozeman, MT)
- …returned claims , claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process ... main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities, hospital (HB) and/or professional (PB) claims… more
- The Institute for Family Health (New Paltz, NY)
- …insurance companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider ... CYCLE COORDINATOR Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full...vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance… more
- Health Care Service Corporation (Nashville, TN)
- …and meet testing criteria. * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week ... professional development. Under Supervision, This Position Is Responsible For Processing Complex Claims Requiring Further Investigation, Including Coordination… more
- UNC Health Care (Raleigh, NC)
- …rules, operating and maintenance instructions, federal, state and third party claims processing requirements and regulations and procedure manuals. Ability ... over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve....interpret bar graphs.COMPUTER SKILLSAbility to use hospital and medical claims processing software. Working knowledge of Word,… more