- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. ... revenue cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous...that may arise. * Liaise with external vendors or insurance carriers regarding claims that require third-party… more
- Beth Israel Lahey Health (Charlestown, MA)
- …the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and collections ... of hospital outstanding balances on inpatient and outpatient accounts receivable...work queues while maintaining established productivity requirements. . Contacts insurance carriers or other responsible parties to confirm payment… more
- Surgery Care Affiliates (Boise, ID)
- …& Accounts Receivable: + Bill and re-bill primary, secondary, and tertiary insurance claims daily. + Maintain knowledge of third-party billing requirements ... insurance providers to resolve issues. + Denials and Claims : + Handle denials and corrected claims ...work environment. Compliance & Attitude: + Adhere to all hospital policies, procedures, and industry best practices. + Display… more
- Omaha Children's Hospital (Omaha, NE)
- …reimbursement on all claims . **Essential Functions** + Follows up on outstanding insurance and government payor claims and charges in follow-up work queues ... underpayments, appeals denials and turns them into payments, ensures accurate reimbursement from insurance and government payors on all claims . + Audits accounts… more
- St. Luke's University Health Network (Allentown, PA)
- …billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner ... Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network… more
- Scripps Health (San Diego, CA)
- …Services location. This role is essential in managing a high volume of hospital Government Insurance /Billing documents, while also performing follow up actions ... in a fast-paced environment and has a passion for insurance and medical claims . As a Patient...days at or near target level set by the Hospital Senior Team. * Supporting continuous improvement of organization… more
- Trinity Health (Davenport, IA)
- …and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Mount Sinai Health System (New York, NY)
- …obligations are met and compliance is maintained across both professional billing (PB) and hospital billing (HB) claims . * Ensure that all contract terms are ... ensuring the organization's contracts, specifically related to healthcare billing ( hospital and professional), adhere to internal policies, regulatory requirements,… more
- Highmark Health (Pittsburgh, PA)
- …Network **Job Description :** Date Posted: 20250207 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours ... Yes **CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions… more
- Trinity Health (Westchester, IL)
- …Account Representative is responsible for the accurate submission of electronic and paper claims for both primary and secondary insurance coverage. This includes ... Medical Center, Loyola Medicine is part of a comprehensive three- hospital system including Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) ,… more