- Zelis (St. Petersburg, FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... new DRG coding concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating… more
- TEKsystems (Louisville, KY)
- Description - Prepare & process various insurance claims , verifies data by conferring with appropriate agencies on a daily basis. -Create & process electronic ... claims submission for various payers on a daily basis...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …+ Bilingual preferred but not required. + Previous experience in case management handling insurance claims a plus. + Strong skills in medical record review. + ... About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care… more
- Sallie Mae (Sterling, VA)
- …and retirement 401k with employer match + Comprehensive medical, dental, vision, hospital indemnity, critical illness, pet insurance and more + Employer ... investigations, first chair responsibility for litigating employment and related claims , and managing outside counsel in litigation and investigations. Provides… more
- Community Health Systems (Naples, FL)
- …Offer** + Competitive Compensation + Comprehensive Benefits: Medical, Dental, Vision, Life Insurance + Generous PTO & Extended Illness Bank (EIB) + Career ... inappropriate care. + Serve as the primary liaison with CHS Corporate for insurance and legal program coordination. **Patient Safety & Incident Oversight** + Lead… more
- Covenant Health Inc. (Crossville, TN)
- …and best choice in our region. Cumberland Medical Center is a 189-bed hospital in Crossville, Tennessee, with more than 650 employees and 175 active physicians. ... accredited by the Joint Commission, Cumberland Medical Center is an acute care hospital offering all private patient rooms as well as specialized services not… more
- Catholic Health Initiatives (Hixson, TN)
- …days off), Professional Dues, and Certification Reimbursement + Malpractice and Tail Insurance (Modified Claims Made) + Full Benefits Eligibility with ... Now! **Position Details** + Practice location will be at CHI Memorial Hospital - Hixson in Hixson, TN. + Clinical excellence: Providing high quality compassionate… more
- HCA Healthcare (Sarasota, FL)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft… more
- WMCHealth (Kingston, NY)
- …accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing ... Patient Account Coordinator Company: HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting Union:… more
- Martin's Point Health Care (Portland, ME)
- …outpatient medical services, receives and reviews notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, ... medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental… more