- CVS Health (East Lansing, MI)
- …provide plan benefit review, interpretation and systematic setup essential to the processing of our claims adjudication system. Meritain's proprietary system ... At CVS Health , we're building a world of health...benefit review, interpretation and systematic setup essential to the processing of our claims adjudication system. The… 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
- CenterLight Health System (NY)
- …Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Coordinate with Finance ... + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software. + Effective oral, written, and… more
- Community Health Systems (Franklin, TN)
- …in revenue codes, HCPCS, CPT coding, and payer billing guidelines, ensuring accurate claims processing and compliance with regulations. + Responds to billing ... + 2-4 years of experience in medical billing, insurance claims processing , or revenue cycle operations required...in Microsoft Office Suite (Excel, Outlook, Word) and electronic health record (EHR) systems. + Strong written and verbal… more
- Mount Sinai Health System (New York, NY)
- …are properly understood, interpreted, and applied across the organization, especially within claims processing . 3. Escalation and Issue Resolution: * Identify, ... revenue cycle, with particular focus on PB and HB claims . o Understanding of the legal and regulatory environment...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… 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
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted ... balances to appropriate financial class and provide documentation for processing the claims . 9. Reviews Credit Letter...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- Scotland Health Care System (Laurinburg, NC)
- …consistent deficiencies to management. + Correct pended claims in FISS for Medicare claims processing . + Monitor and process late charge claims and ... Scotland Health Care System, Laurinburg, North Carolina Insurance Biller...requirements. + Proficiency in electronic billing systems and Medicare claims processing . + Excellent attention to detail… more
- Covenant Health Inc. (Knoxville, TN)
- …communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal and ... revenue cycle required (ie, medical billing, insurance/percert verification, registration, Health Information Management (HIM), coding, claims management/insurance… more
- Mount Sinai Health System (New York, NY)
- …claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking ... solving payment and other business office issues. 2. Monitors processing of claims for reimbursement and ensures...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more