- Martin's Point Health Care (Portland, ME)
- …of relevant education and experience. Experience + 3+ years of experience in the health insurance field. + Proven experience and success in a mentoring role ... Join Martin's Point Health Care - an innovative, not-for-profit health...+ Demonstrates advanced knowledge of enrollment / disenrollment guidelines, claims processing and plan benefits necessary to exercise decision-making… more
- Elevance Health (Hanover, MD)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- University of Rochester (Albany, NY)
- …accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid ... payment trends and issues. + Bills primary and secondary claims to insurance . + Identifies and clarifies...insurance adjustments or retractions. Reviews and works all insurance credits in electronic health record. Enters… more
- University of Rochester (Rochester, NY)
- …underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. + Follows up on ... payment trends and issues. + Bills primary and secondary claims to insurance . + Identifies and clarifies... adjustments or retractions. + Reviews and works all insurance credits in electronic health record. +… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …is directly accountable for contributing to audit functions, business continuity, claims management, insurance , physical security, integrated risk management and ... every patient. And together, CHLA team members will turn health care into health transformation. Join a...trends * Senior leadership experience in healthcare, risk management, claims management, insurance and/or other relevant areas… more
- Festival Foods (WI)
- …trends within claims to determine coverage and liability for new claims . + Property insurance + Facilitate property engineering visits through property ... injury/illness. The successful candidate will lead in the investigation of health and safety concerns and provide corrective and/or preventative measures; benchmark… more
- Johns Hopkins University (Middle River, MD)
- …Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for ... Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Avera (Sioux Center, IA)
- …**Worker Type:** Regular **Work Shift:** Day Shift (United States of America) Sioux Center Health is seeking a qualified individual to join our team! Sioux Center ... Health has been designated a Top 100 Critical Access...data entry; entering charges, payments, discounts, transfers and other insurance work into the computer. Follow up on … more
- Hunterdon Health Care System (Flemington, NJ)
- …billing errors, initiating required follow- up actions, and submitting or resubmitting claims to third-party insurance carriers and governmental payers in ... monitoring all aspects of the collection of outstanding debts owed to the health system including following up directly with commercial and governmental payers to… more
- Vitra Health (Braintree, MA)
- …metrics and proactively identifies revenue and process opportunities. Perks and Benefits: + Health Insurance with a 75% employer contribution! + Dental and ... and health center revenue cycle + Federal, State, and private health insurance programs, billing, eligibility standards, and coding + Emerging trends… more