- Medtronic (Irvine, CA)
- …compensation are available to those regular employees who work 20+ hours per week: Health , Dental and vision insurance , Health Savings Account, Healthcare ... International promotional labeling material, including the creation of a claims matrix database and claims objects. +...within the Responsibilities section of this job description are representative of those that must be met by an… more
- St. Luke's University Health Network (Allentown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively...Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure… more
- Service Source (Lakewood, CO)
- …entire claims process. They assess eligibility, coordinate medical and mental health evaluations, develop and submit claims , and manage the process through ... and processes. + Manage an ongoing caseload of initial and first reconsideration claims . + Collaborate with paired DHS case management to connect participants to… more
- Towne Park (Baltimore, MD)
- …training, and location. **Benefits:** Employees are eligible to enroll in accident insurance , critical illness insurance , hospital indemnity insurance , and ... Remains attentive of all potential high risk areas for claims prevention. Reports all potential high risk areas and..._The working conditions and physical demands described here are representative of those that must be met by an… more
- BJC HealthCare (St. Louis, MO)
- …maintaining departmental quality and productivity standards. + Confirms patient benefits with insurance carrier and re-files insurance claims as necessary ... resolves complex accounts and ensures their full resolution. + Contacts insurance companies regarding complex claims , updates account information, and… more
- Highmark Health (Jackson, MS)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... or project management within the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and… more
- Walworth County (Elkhorn, WI)
- …a .50 FTE or higher position are eligible for all benefits listed below except Health insurance . Employees hired into a .49 FTE or less position are eligible ... Work directly with Benefits Specialists as needed to facilitate claims process. Establish and maintain organized, accurate and readily...to participate in Short-Term Disability only. Health Insurance : You can choose Tier 1… more
- WestCare Foundation (Fresno, CA)
- …position ensures claims are submitted accurately and timely directly to insurance carriers and Medi-Cal Managed Care Plans (MCPs) in accordance with all DHCS, ... track CalAIM claims directly to Medi-Cal Managed Care Plans and insurance carriers. + Verify client eligibility, authorizations, and service coverage using payer… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County, CA Job Type Full time Job Number b9194B Department MENTAL HEALTH Opening Date 07/17/2025 Closing Date Continuous + Description + Benefits + Questions ... of patient access staff responsible for scheduling/registration, financial screening, insurance authorization initiation and tracking, and primary care linkage.… more
- Mohawk Valley Health System (Utica, NY)
- …is a plus. Core Job Responsibilities + Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a ... contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per… more