- 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
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers ... insurance, or managed care industries is highly preferred. Experience performing medical claims processing , financial counseling and clearance, or accounting is… more
- City of Jacksonville (Jacksonville, FL)
- …of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience ... of employment? Do you want low and no cost health insurance options? If you answered "yes" to any...rules, and regulations. + Knowledge of complex workers' compensation claims processing practices and procedures involving lost… 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
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system** **Handles Paper claims processing including proper documentation of accounts with higher level of ... with future expansion anticipated to maximize reimbursement to the health system. **Job Description:** **Essential Responsibilities:** **Utilizes the Epic Hospital… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system + Handles Paper claims processing including proper documentation + Communicates all claims /data ... healthcare system with future expansion anticipated to maximize reimbursement to the health system. **Job Description:** + Utilizes the Epic Hospital Billing System… more
- Elevance Health (MD)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… 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 claims ... balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more