- The County of Los Angeles (Los Angeles, CA)
- …vital public services as diverse as law enforcement, property assessment, public health protection, water conservation, cultural activities and many more. We are ... benefits packages in the country. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility to work, relax, and… more
- State of Minnesota (St. Paul, MN)
- …rules, laws and requirements that allow for making and/or denying payment of claims adjudicated the Medicaid claims processing system. + Understanding ... sufficient to be able to understand the procedures followed and decisions made by claims processing staff. + Experience in retail, specialty, or long-term care… more
- Baylor Scott & White Health (Temple, TX)
- …FUNCTIONS OF THE ROLE** Helps members by phone or in writing to effectively resolve claims processing issues for all Health Plan products, utilizing pharmacy ... pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department… more
- Covenant Health Inc. (Knoxville, TN)
- …and billing edits. + Maintains knowledge and understanding of CMS NCCI Policies, Claims Processing Manual, CPT coding, and modifiers to ensure compliance with ... Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's...corrections, investigating cause, and leading actions to resolve claim processing issues. Uses CMS resources and source documentation as… more
- CVS Health (Phoenix, AZ)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... At CVS Health , we're building a world of health...are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and… more
- CVS Health (Cumberland, RI)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Coordinator is responsible for ensuring the timely and accurate processing of payer enrollment applications, including initial submissions and… more
- Northern Light Health (Portland, ME)
- Northern Light Health Department: Patient Safety Position is located: Mercy Fore River Work Type: Full Time Hours Per Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM ... Quality and Director of Patient Safety at Northern Light Health . The Risk Management Specialist serves as a primary...development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will assist the Director in… more
- BayCare Health System (Clearwater, FL)
- …consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of ... and clinical excellence. **Summary:** + Responsible for receiving and processing referrals, authorizations, and clinical documentation for healthcare services. +… more
- UCLA Health (Los Angeles, CA)
- Description The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... This is a non-clinical role focused on care coordination, oversight of home health services, and administrative support to ensure compliance with CMS guidelines and… more
- WMCHealth (Valhalla, NY)
- …Features of the Class: Under general supervision, an Insurance Clerk processes insurance claims to third party health carriers for billing of medical services ... and in the general type of information required by health and hospital insurance carriers; familiarity with medical terms;...of clerical experience, one year of which included the processing of patients' medical insurance claims as… more