- Saint Francis Health System (Tulsa, OK)
- …all aspects of patient financial services including professional and hospital claims billing, cash posting, and management of patient receivables. This role ... to maximize cash flow, reduce accounts receivable days, and ensure effective claims adjudication. This position plays a key role in monitoring pertinent revenue… more
- CVS Health (Springfield, IL)
- …every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a ... At CVS Health , we're building a world of health...**Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing… more
- Trinity Health (Rensselaer, NY)
- …diem **Medical Assistant** position, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will ... room, takes appropriate vital signs and documents all necessary health information into the electronic medical record. + Responds...Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties… more
- Highmark Health (Pittsburgh, PA)
- …issues related to supported technology. Manage utilization review, translation of foreign claims , coordination of benefits (COB), and processing of claims ... **Company :** Allegheny Health Network **Job Description :** Date Posted: 20250606...OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited… more
- TEKsystems (West Des Moines, IA)
- …strong understanding of the full revenue cycle and be comfortable navigating complex claims processes using multiple data sources. **CANDIDATES MUST RESIDE IN IA OR ... Stop Bills, and "DNBs" to ensure timely claim submission. + Accurately transmit claims daily and ensure all required documentation is included. + Verify eligibility… 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
- Evergreen Health (Buffalo, NY)
- …to everyone in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting ... Evergreen Health At Evergreen and our affiliates, we value...this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely filing requirements.… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- Beth Israel Lahey Health (Burlington, MA)
- …meetings with assigned payers and provider representatives to address all outstanding claims processing issues. Maintain an ongoing issues tracker for each ... complex appeals, audits, credits, cash, coding, workflows, data collection, report details, claims , and remittance setup, logic and processing , and applicable… more
- Cardinal Health (Fresno, CA)
- …revenue by monitoring and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the provider, payors, and patients ... Understand electronic claim interchange and the life cycle of primary and secondary claims . + Contribute to team efforts by accomplishing related results as needed.… more