- Elevance Health (VA)
- …provide non-clinical review and analysis of all complex Tier I post service medical claims . **How you will make an impact:** + Utilizes guidelines and review tools ... to analyze assigned claims and medical records to either approve or summarize...$36.46. Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Mendota Heights, MN)
- …The **Excess Loss Specialist** is responsible for working independently reviewing claims and interpreting contracts. Works with complex concepts of excess loss, ... an impact :** + Assists auditors with obtaining information for stop loss claims . + Tracks payments from third-party administrators that have been funded. + Prepares… 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
- 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
- HCA Healthcare (Overland Park, KS)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... **Benefits** HCA Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Elevance Health (Middletown, NY)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... claims . Health insurance...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Beth Israel Lahey Health (Burlington, MA)
- …Abilities:** + Comprehensive working knowledge of medical/hospital billing practices, billing software, health care insurance , and CMS regulations + Knowledge of ... a difference in people's lives.** Under the managerial oversight of the Director, Senior Manager , or Manager of Revenue Cycle, the Revenue Cycle Analyst serves… 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 ... Specialist_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- MyFlorida (Hudson, FL)
- …but is not limited to client information, dates of services, and payment of claims . Assists Program Manager in compiling and reviewing program data to complete ... + Nine paid holidays and one Personal Holiday each year; + State Group Insurance coverage options, including health , life, dental, vision, and other supplemental… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Home Infusion Intake Coordinator is responsible for insurance verification, conducting and completing necessary third party ( insurance ) ... authorization requests, patient out of pocket estimates, patient notification of co- insurance , co-payments and deductible for all treatment plans, patient enrollment… more