- Humana (Washington, DC)
- …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Idaho Division of Human Resources (Sandpoint, ID)
- …hearings, child protective act cases, specialty court proceedings in magistrate court, and appeals to the district court and does related work as required. This ... of proceedings; + Prepare and present legal arguments in appeals to district court, ensuring the legal rights of...the Nation + Excellent low-cost medical, dental, and vision insurance - employee coverage for PPO $70.74/month for medical… more
- City and County of San Francisco (San Francisco, CA)
- …benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability ... insurance ; life insurance ; and a generous paid... insurance ; life insurance ; and a generous paid time off package. Come...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- State of Colorado (CO)
- …dependents. We also offer short and long-term disability coverage, and life insurance that includes legal resources and discounts. + State contribution into Health ... and the State of Colorado Family and Medical Leave Insurance Program (FAMLI) (https://famli.colorado.gov/) . + Paid medical leave benefits… more
- Banner Health (AZ)
- …**PFS CBO** **, Acute Billing** **Follow-up Representative,** you will work with the Insurance companies on behalf of the patient to assist with obtaining payments ... years patient financial services or medical claims experience; + Experience with submitting appeals and understanding of EOB; + General knowledge of codes used on UB… more
- CaroMont Health (Gastonia, NC)
- …treatment. Must be knowledgeable and have a thorough understanding of insurance payers with regards to Coordination of Benefits, authorization guidelines, pharmacy ... and treatment plans. Communication with clinic staff, providers, pharmacists, and insurance companies is essential to ensure completed peer reviews, relay updated… more
- State of Colorado (Garfield County, CO)
- …them safe. The State of Colorado offers competitive medical, dental and vision insurance , life and disability insurance , and flexible spending and health savings ... of the department's action. For more information about the appeals process, the official appeal form, and how to...variety of benefits including medical, dental, life and disability insurance , as well as a comprehensive leave program. Please… more
- Beth Israel Lahey Health (Burlington, MA)
- …in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review and other coding needs ... and reports them to the Billing Supervisor. 2. Responds to incoming insurance /office calls with professionalism and helps to resolve callers' issues, retrieving… more
- J&J Family of Companies (Columbus, OH)
- …assigned. + Educate HCPs on product coverage, prior authorizations and appeals , reimbursement processes, claims submissions, procedures, and coding requirements of ... care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) + Ability to establish relationships, collaborate, and influence… more
- State of Colorado (Lakewood, CO)
- …dependents. We also offer short and long-term disability coverage, and life insurance that includes legal resources and discounts. + State contribution into Health ... and the State of Colorado Family and Medical Leave Insurance Program (FAMLI) (https://famli.colorado.gov/) . + Paid medical leave benefits… more