- The Cigna Group (Baltimore, MD)
- **LOCATION:** **Virginia, Maryland or Washington, DC** This **Manager, Hospital Contracting** serves as an integral member of the Provider Contracting Team and ... service and value-based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + Builds relationships… more
- Mount Sinai Health System (New York, NY)
- …preferred) Non-Bargaining Unit, 524 - Risk Management - MSH, Mount Sinai Hospital **Responsibilities** 1. Coordinates the risk management program to meet the needs ... all occurrence reports for Risk Management, quality of care, regulatory and insurance concerns. 3. Performs investigation of potentially reportable incident (s) to… more
- Covenant Health Inc. (Knoxville, TN)
- …for all services are captured. + Posts office and hospital charges. + Files claims to insurance companies. + Sends statements to patients. + Posts personal, ... insurance and collection agency payments. + Follows-up with insurance companies regarding unpaid claims . + Reviews...+ Follows-up with insurance companies regarding unpaid claims . + Reviews credit balance accounts and generates refunds… more
- Children's Hospital Boston (Boston, MA)
- …to government/payer regulation and department policy/procedures. + Prepares and submits accurate insurance claims and appeals to payer within required timeframes ... responsible for the timely and accurate submission of all charges and claims as assigned and required to bring issue/problem identification and investigation through… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital , 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... $27.45 hourly, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital , we've built a...What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited… more
- Omaha Children's Hospital (Omaha, NE)
- …identify root cause and develop and implement resolution for assigned area ( hospital or professional services). Regularly works with payer representatives to address ... concerns to correct, and when necessary, resubmit affected claims for payment. **Essential Functions** + Develop and utilize revenue cycle performance metrics,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Bachelor's Degree Previous experience in the health care field, such as hospital , medical group, health insurance , or other Risk Bearing Organization ... our members and find purpose in supporting them. The insurance process can be frustrating and we are here...codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …register new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate. Incumbent will verify ... service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing,… more
- Towne Park (Boston, MA)
- …are eligible to enroll in medical, dental, and vision insurance , accident insurance , critical illness insurance , hospital indemnity insurance , and ... telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able to… more
- Surgery Care Affiliates (Boise, ID)
- …401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca.health/why-sca) to learn more about our ... functions are credit balance management, patient balance resolution and non-patient ( insurance ) resolution. + Accurate and timely follow up and resolution for… more