- CVS Health (OR)
- …review a clinical determination and understand rationale for decision. * Able to research claim processing logic and various systems to verify accuracy of ... person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as...1 years of experience in research and analysis of claim processing . - 1-2 years Medicare part… more
- CVS Health (PA)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of ... person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as...1+ year(s) of experience in research and analysis of claim processing + Demonstrated ability to handle… more
- MyFlorida (Bay Pines, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance available at reasonable premium rates. Paid vacation and sick… more
- MyFlorida (Lake City, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance available at reasonable premium rates. Paid vacation and sick… more
- WellSpan Health (Chambersburg, PA)
- …no payment on account balances in a timely manner. Appropriately notes accounts with claim status from insurance websites or insurance customer service. 34. ... Meets department guidelines for maintaining Claim Edits and Rejections WQ's as required. Makes telephone...late charges when necessary. 36. Keys appropriate adjustments if claims have processed correctly. 37. Properly corrects insurance… more
- Cardinal Health (Lincoln, NE)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... Cardinal Health_** Account Receivable Specialist II is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers,… more
- Rush University Medical Center (Chicago, IL)
- …Experience working in a Teaching Hospital setting. * Prior experience with billing and claims processing . * Prior experience working in a hospital or clinical ... and/or reduce denials. 3. Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing,… more
- State of Colorado (CO)
- …After You Apply. (https://youtu.be/Bevm6F3LfBM) Description of Job Do you have experience processing refund claims ? Are you well versed in communicating ... Section employs professionals serving as specialists in various refund claim types. The section is actively seeking a Tax...Tax Examiner I to determine the accuracy of refund claims for sales, retailers use, consumer use, wage withholding,… more
- Gentiva (Mooresville, NC)
- …closely with billing, collections, and field staff to ensure compliance and smooth claims processing . **As a Clinical Authorization Nurse, You Will:** + Perform ... Partner with staff on obtaining documentation necessary for clean claim billing + Manage and communicate with the team...Develop and maintain tracking logs and spreadsheets related to claims processing + Support senior management in… more
- Cardinal Health (Doral, FL)
- …necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; properly ... maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely… more
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