- Dignity Health (Merced, CA)
- …utilize all reimbursement tools including payer contracts and all relevant electronic claims processing and reimbursement tools available. + Assists colleagues ... Account Representative, you will be responsible for preparing and processing superbill charges and payments, ensuring accurate financial record-keeping. Every… more
- Mohawk Valley Health System (Utica, NY)
- … - VNA Job Summary The Billing Accounts Receivable Analyst is responsible for processing all VNA/Home Care Services claims to primary and secondary payers ... background verification with an external vendor. Job Details Req Id 96377 Department BILLING CLAIMS - VNA Shift Days Shift Hours Worked 7.50 FTE 0.56 Work Schedule… more
- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing , or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Elevance Health (Durham, NC)
- …program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Performs substantive statistical analyses and reporting to ... drugs and other biologic interventions. + Uses a large claims database to conduct studies which focus on improving... database to conduct studies which focus on improving health outcomes. + Leads data management activities by developing… more
- Elevance Health (Norfolk, VA)
- …Requires a High School Diploma and a minimum of 4 years of internal company claims processing or customer service experience; or any combination of education and ... and analysis of non-complex Tier 1 post service medical claims . **How you will make an impact:** + Utilizes...internal local technology preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Covenant Health Inc. (Knoxville, TN)
- …Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with ... area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the… more
- Mount Sinai Health System (New York, NY)
- …and analytic development skills and impact the patient community of the Mount Sinai Health System. Serves as mentor to others in the Data Science team and takes ... minimum, higher preferred, in analytics development expertise, preferably in health care, or for a health provider,...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Center For Health Information And Analysis (Boston, MA)
- …Experience working with hospital discharge data and previous experience working with health care claims data strongly preferred. + Effective Communication: ... At the Center for Health Information and Analysis (CHIA), we serve as...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- Henry Ford Health System (Jackson, MI)
- …data management, ensuring providers meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, ... obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits… more
- The Cigna Group (Phoenix, AZ)
- …patient profiles in the system if needed. + Prepare prescriptions for processing , including assessing the validity of the prescription. + Manually route orders ... to the appropriate stage for processing , validation, or clarity from Doctors' offices, insurance, and/or...+ Accurately enter prescriptions into our system, run test claims , run test claims and support patients… more