- US Physical Therapy (Rome, GA)
- …and thoroughly document pertinent collection activity performed. + Verify claims adjudication utilizing appropriate resources and applications. + Initiate telephone ... with parties responsible for reimbursement for services provided. + Edit/Update claim information to meet and satisfy billing compliance guidelines for electronic… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... Plan with employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid parental leave,… more
- USAA (Phoenix, AZ)
- …work under supervision to investigate, evaluate, negotiate, and adjust low complexity auto insurance claims presented by or against our members. This will ... service. + Acquire and apply a foundational knowledge of Property and Claims (P&C) insurance industry products, and services, to include P&C insurance policy… more
- Sedgwick (Pasadena, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Office Assistant | Pasadena, CA (In-Office) Are you looking for an impactful ... MAY INCLUDE** + Types form letters. + Sets up, maintains and locates claim files. + Processes packets. + Conducts computer data entry and processing; documents… more
- Elevance Health (Columbus, OH)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... of proprietary data and claim systems for review of... systems for review of facility, professional and pharmacy claims . + Responsible for identifying and developing enterprise-wide specific… more
- TEKsystems (Dallas, TX)
- …1-3 years of medical patient account representative experience, or medical insurance /authorizations experience, AND must sit in EST/CST time zone areas! Description ... providers, health plan and members as they relate to eligibility, benefits, claims , coverage and authorization of services. This position will also problem-solve and… more
- Southeast Health (Dothan, AL)
- …Performs daily activities involved in the reimbursement process, ie, claims filing/follow-up, entry of payments/adjustments, follow-up on non-payment or payments ... working knowledge of regulatory guidelines for billing; + Provides claim submission for services provided at SEH; + Provides...services provided at SEH; + Provides follow up on claims which did not process correctly; + Provides follow… more
- Cardinal Health (Indianapolis, IN)
- … + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims follow up regarding discrepancies in ... getting the right things done. **_Responsibilities_** + Working unpaid or denied claims to ensure timely filing guidelines are meet. + Submitting medical… more
- Highmark Health (Harrisburg, PA)
- …data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse ... consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. 2. Develop management… more
- Delta Dental of Iowa (Johnston, IA)
- …benefits are implemented correctly to support seamless enrollment, billing, and claims adjudication. You will collaborate closely with internal stakeholders to ... Iowa, we're more than just a dental and vision insurance company. Improving health and wellness is at the...logic, procedure groupings, and benefit rules to ensure correct claim outcomes and alignment with product intent. + Collaborate… more