- OhioHealth (Columbus, OH)
- …ASSURING APPROPRIATE PAYER AUTHORIZATION AND/OR PAYER REQUIREMENTS ARE IN PLACE FOR HOSPITAL PAYMENT. 1. Responsible for insurance verification. When necessary, ... patient care. Primary responsibilities include but are not limited to: insurance verification, obtaining pre-authorization and data entry of patient information,… more
- Trinity Health (Hartford, CT)
- …(5) years of Accounts Receivable/ Collections experience. + Knowledge of workers' compensation claims preferred + Experience with insurance follow up, calling ... Come join our Worker's Compensation team at Saint Francis Hospital , a member of Trinity Health Of New England!...accounts receivable aging report to follow up on outstanding insurance payments that need to be reviewed for additional… more
- Mount Sinai Health System (New York, NY)
- …Working knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital /provider system such as ... Competencies** + Demonstrates the ability to assure compliance with regulatory, insurance and ethical standards regarding safety of patients, employees and property.… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Auditor is responsible for post-pay review to verify the accuracy of claims reimbursement, clinical significance, coding, and billing in accordance with the Plans' ... Your Day to Day: Preform post pay audits on hospital bills and medical records to assure all services...appropriate application of BCBSMA guidelines, policy and procedures, and claims system edits. Conducts provider appeals and consults with… more
- TEKsystems (Phoenix, AZ)
- …skilled mechanic looking to shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team. In this role, you'll ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- TEKsystems (San Antonio, TX)
- …below under Work Eligibility) Compensation: Competitive, based on experience Department: Claims Support Schedule: + Training: Part-time hours starting at 8:00 AM ... skilled Charge Entry Specialist to support a fast-paced, high-volume claims team. This role is critical in helping catch...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- Intermountain Health (Murray, UT)
- …Billing and Coding + Reimbursement + Billing Operations + Medical Billing Software + Insurance claims processing + ICD Coding + Patient Care + Medicare Billing ... Billing Specialist is responsible for the timely follow-up of claims billed and the resolution of accounts. Oversees the...of back-end revenue cycle experience in a facility and hospital setting + Knowledge of Medicaid and Medicare billing… more
- TEKsystems (Honolulu, HI)
- Description Key Responsibilities + Claims Auditing: + Reviewing medical claims to verify accurate coding, correct benefit payments, and adherence to contract ... policies. + Issue Resolution: + Investigating and resolving discrepancies in claims payments and identifying underlying system or benefit inaccuracies. + Compliance… more
- Aston Carter (Naperville, IL)
- …+ A minimum of a year of office experience in data entry, dispatchers, claims , or provider relations. (Open to entry level Bachelor's Degree candidates as well). + ... This position is responsible for the review, investigation, and evaluation of claims to determine eligibility and negotiate resolutions in compliance with all… more
- AdventHealth (Maitland, FL)
- …and claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in ... various sources using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing complex models and implements them on new… more