- Robert Half Accountemps (Los Angeles, CA)
- …patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission. -Performs all data entry and ... appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons. Requirements Medical Billing, Medical Collections, Medical Denials, Medical … more
- State of Colorado (Colorado Springs, CO)
- …in a manner that promotes a safe, sanitary and effective environment for students and staff and enhances the quality of life in CSDB facilities and on campus. The ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Please… more
- University of Rochester (Rochester, NY)
- …orders and sends them for review and approval. Anticipates needs of insurance companies by gathering all necessary information for referrals and prior ... edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts… more
- Access Dubuque (Dubuque, IA)
- …process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members + Performs duties related to drug ... and bonuses that reward your performance. + Comprehensive health, dental, and vision insurance + additional benefits + 401(k) with company match to secure your… more
- Minnesota State (Winona, MN)
- …program applications. Evaluate and make determinations on student petitions requesting appeals or exceptions to waive application requirements or semester study ... providing work direction, supervision, and performance feedback for both professional staff and student workers. Manage cost centers associated with semester study… more
- ADP (Roseland, NJ)
- …+ Track and manage the timely payment of invoices for all insurance carriers and benefit vendors. + Collaborate with internal communications, benefit partners, ... and on-site Health & Wellness Center staff to educate and promote awareness of and participation...regulatory compliance matters. + Handle associate benefit escalations and appeals . + Support in developing and executing the Health… more
- Robert Half Accountemps (Duarte, CA)
- …claims for services provided in our skilled nursing facility to insurance companies, Medicare/Medicaid, and private payers. + Patient Accounts: Manage accounts ... + Collaboration: Work closely with admissions, case management, and clinical staff to ensure accurate coding and documentation throughout the billing process.… more
- University of Rochester (Rochester, NY)
- …and sends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations. ... edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts… more
- NTT DATA North America (Ontario, CA)
- …issues, and contract exceptions + Author overpayment/underpayment determinations and coordinate appeals 1. Quality & Compliance + Engage in quality reviews, audits, ... experience **Preferences** + Excellent analytical and communication skills + Experience training staff or acting as a mentor + Familiarity with system testing and… more
- BrightSpring Health Services (Lexington, KY)
- …with direct sales and account management experience, a KY or TN State Insurance License (or willingness to quickly get one), and experience working with our ... issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners within plan Service… more