- Community Health Systems (Birmingham, AL)
- …II is responsible for managing complex billing functions, ensuring timely and accurate claims processing , and resolving issues related to insurance payments and ... and standards. **Qualifications** + 2-4 years of experience in medical billing, insurance claims processing , or revenue cycle management required + 1-3 years in… more
- Saint Francis Health System (Tulsa, OK)
- …oversight to maximize cash flow, reduce accounts receivable days, and ensure effective claims adjudication . This position plays a key role in monitoring ... all aspects of patient financial services including professional and hospital claims billing, cash posting, and management of patient receivables. This role… more
- Veterans Affairs, Veterans Health Administration (Portland, OR)
- …benefits to Veterans who meet eligibility criteria. Staff review, adjudicate and authorize claims for costs incurred while traveling from their home to a VA medical ... Funds Transfer, paper check or denial of benefits reviews claims for accuracy and ensures all required documentation is...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment… more
- TEKsystems (West Des Moines, IA)
- …a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of ... that will work mostly with clients on workers comp, health screening, etc. Previous occupational health physician... issues, repetitive errors, and payer trends to expedite claims adjudication Work accounts in assigned queues… more
- Executive Office for US Attorneys and the Office of the US… (San Diego, CA)
- …investigation and prosecution of civil actions under statutes such as the False Claims Act and Controlled Substances Act. Our Civil Division represents the United ... Security Requirements: Initial appointment is conditioned upon a satisfactory preemployment adjudication . This includes fingerprint, credit and tax checks, and drug… more
- Sharp HealthCare (San Diego, CA)
- …management team. + Knowledge of Federal and State regulations as related to benefit and claims adjudication . + Adept at being an initiator of positive change to ... and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit… more
- Ardon (Portland, OR)
- …software system work queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans, ... be able to accurately utilize applicable computer software and equipment for pharmacy claims processing . Working conditions Work is performed primarily at a… more
- AIG (Lenexa, KS)
- …by third party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims . + Generate monthly reports ... Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review experience is desirable. + Knowledge of key… more
- Billings Clinic (Billings, MT)
- …preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims ... a neat and organized condition. * Processes complete prescription claims including proper adjudication /reconciliation, insurance verification, prior… more
- Billings Clinic (Bozeman, MT)
- …preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims ... a neat and organized condition. + Processes complete prescription claims including proper adjudication /reconciliation, insurance verification, prior… more