- Rochester Regional Health (Rochester, NY)
- …RESPONSIBILITIES: + Medical Billing & Claims Management: Submit and track insurance claims , resolve denials and billing edits, process remittances and ... Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied … more
- Sedgwick (Jacksonville, FL)
- …+ Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine … more
- TEKsystems (Richmond, VA)
- …and providers by handling inbound calls related to eligibility, benefits, claims , and service authorizations. The position requires strong communication skills, ... supervision. + Contact customers regarding complex inquiries or to communicate claim investigation outcomes. + Refer unresolved grievances, appeals, and claim… more
- Rush University Medical Center (Chicago, IL)
- …and/or reduce denials. 3. Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, ... feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …is remote; however, it will require travel and in person meetings with health insurance brokers. Our teams are able to collaborate using video and screen sharing ... and analyses to identify potential gaps in an employer's insurance coverage. Collaborate with cross-functional teams, including clinicians, underwriters, actuaries,… more
- WMCHealth (Kingston, NY)
- …relates to the billing and follow-up of claims . + Responsible for filing insurance claims for multiple third party payers. Addresses any edits pertaining to ... + Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected… more
- WMCHealth (Kingston, NY)
- …relates to the billing and follow-up of claims . + Responsible for filing insurance claims for multiple third party payers. Addresses any edits pertaining to ... + Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected… more
- ProTrain (Rancho Santa Margarita, CA)
- …Demonstrate diagnostic and procedural coding. + Describe basic guidelines for submitting insurance claims . + Explain the difference between clean, pending, ... pronunciation, and spelling. + Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims...Identify solutions for denied and rejected paper and electronic claims . + Identify when a paper claim … more
- Geisinger (Wilkes-Barre, PA)
- …and litigation strategy, expert selection, and provide guidance on internal claims review procedures. + Support management of financially significant and complex ... claims and litigation through resolution. + Collaborate to set...as required. + Assist in coordination and communication with insurance carriers, including state insurance funds. +… more
- GuideOne Insurance (Chicago, IL)
- …will play a key role in supporting The Mutual Group (TMG), GuideOne Insurance , and future members by designing, building, and deploying solutions that leverage large ... AI pipelines that classify, extract, and validate key entities (eg, policy numbers, claim dates, insured parties) from documents. + Integrate LLMs via Bedrock or… more