- Providence (Santa Monica, CA)
- …patient safety initiatives, and accreditation compliance, all aimed at reducing damage claims against the hospital and maintaining regulatory compliance. **What ... analyzing risk management data. + **Project Leadership:** Lead facility-wide projects and prepare claims files for various types of insurance . Work with … more
- Billings Clinic (Billings, MT)
- …and compassionate care/medication assistance programs associated with patient accounts and insurance claims billing. * Enters medication charges and credits ... for the adjudication/reconciliation of patient accounts and insurance claims billing. * Participates in quality improvement activities utilizing performance… more
- Atlantic Health System (Pompton Plains, NJ)
- …collection, validation, and requisitioning of orders and services. Participates in Insurance -related tasks including, but not limited to verification, collection of ... collection of associated paperwork. Ensures compliance with regulatory requirements and hospital policies and protocols. Acts as a liaison between patients,… more
- Atlantic Health System (Summit, NJ)
- …collection, validation, and requisitioning of orders and services. Participates in Insurance -related tasks including, but not limited to verification, collection of ... collection of associated paperwork. Ensures compliance with regulatory requirements and hospital policies and protocols. Acts as a liaison between patients,… more
- Children's Mercy Kansas City (Kansas City, MO)
- …why we have been recognized by US News & World Report as a top pediatric hospital , for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a ... play. This is a community that has embraced our hospital and we strive to say thanks by giving...team. This incumbent is responsible for reviewing and handling insurance claim delays, denials, and variances, answering account questions… more
- R1 RCM (Detroit, MI)
- …critical thinking and problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based ... Analyst I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts....cause analysis to craft appeal letters to resolve any insurance company medical denials. To thrive in this role,… more
- Fairview Health Services (St. Paul, MN)
- …in high-dollar claim denial review and addresses the coding components of said claims . + Reviews insurance coding-related denials, including but not limited to: ... policies and requirements to ensure compliance; remains current with applicable insurance carriers' timely filing deadlines, claims submission processes, and… more
- UPMC (Williamsburg, PA)
- …overhead pages * Retrieve and respond to billing line voicemails promptly Billing & Claims Management * Enter daily hospital , palliative care, and nursing home ... * Contact physicians for missing or unclear diagnoses or hospital charges * Follow hospital financial department...medical record requests for Worker's Comp and Auto Accident claims * Obtain demographic and insurance data… more
- UPMC (Pittsburgh, PA)
- …Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with ... appropriate management and staff. Review and evaluate potential and current claims with relevant internal departments and make appropriate recommendations to Senior… more
- HCA Healthcare (Atlantis, FL)
- …flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft ... employer? We have an exciting opportunity for you to join HCA Florida JFK Hospital which is part of the nation's leading provider of healthcare services, HCA… more