- Whidbey General Hospital (Coupeville, WA)
- …RN - Care Manager serves as the organizational consultant to providers and staff to optimize patient throughput and assure that the organization and the patient's ... delivery of regulatory forms to patients when appropriate. + Communicates with insurance companies regarding the medical necessity of the admission and provides… more
- NTT DATA North America (Ontario, CA)
- …issues, and contract exceptions + Author overpayment/underpayment determinations and coordinate appeals Quality & Compliance + Engage in quality reviews, audits, ... regulatory guidelines + Excellent analytical and communication skills + Experience training staff or acting as a mentor + Familiarity with system testing and… more
- Bristol Myers Squibb (Tampa, FL)
- …for escalation and resolution of Tier 2 queries, plan interpretation and appeals . + Responsible for ensuring internal processes are documented and updated versions ... Financial protection benefits such as short- and long-term disability, life insurance , supplemental health insurance , business travel protection and survivor… more
- Idaho Division of Human Resources (Boise, ID)
- …transfers + Compiles legal documents for acquisitions, approves payments for insurance premiums, land parcels, and recording fees. + Prepares condemnation orders ... compliance and standardization, coordinates relocation procedures and advises on relocation appeals . + Maintains inventory of real property that has been determined… more
- Adecco US, Inc. (New York, NY)
- …on-site or virtual training and education to healthcare providers and staff on reimbursement processes, including lunch-and-learns and scheduled presentations. Log ... Support (20%)** - Assist offices with claims, billing and coding, appeals , medical benefit interpretation, and co-pay or patient assistance programs. Coordinate… more
- Rush University Medical Center (Chicago, IL)
- …timely appeals for denied or rejected claims. + Verifying insurance coverage and patient information. + Identifying and resolving billing discrepancies and ... to financial goals reflected by suggested improvements. + Communicates with insurance companies, employers, and healthcare providers to resolve billing issues. +… more
- Henry Ford Health System (St. Clair Shores, MI)
- …medical staff and hospital. . Provides appropriate documentation that meets insurance company requirements; works appeals to all denials in a timely ... - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual care, pharmacy, eye care… more
- Owens & Minor (Downers Grove, IL)
- …and follow oral and written instructions. + Answers questions from customers, clerical staff , and insurance companies. + Identifies and resolves patient billing ... teammates. Owens & Minor teammate benefits include: + Medical, dental, and vision insurance , available on first working day + 401(k), eligibility after one year of… more
- Beth Israel Lahey Health (Plymouth, MA)
- …team to assess and improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding ... pleasant, professional and cooperative demeanor with patients, physicians, colleagues and insurance companies + Knowledge of government and insurance company… more
- Novant Health (Charlotte, NC)
- …will oversee hospital and ambulatory billing and collections, specialty billing, denials, appeals , defense audits, partner for payer strategy with our Managed Care ... the health system. This includes billing, claims management, cash posting, insurance follow-up, denials resolution, customer service, and collections. The Vice… more