- Excellus BlueCross BlueShield (Rochester, NY)
- …documentation and communication with Insured, Insured's family, care providers, and monitoring of claim submission and processing . All work is directed under the ... terms and conditions of the various individual insurance contracts. Essential Accountabilities: Level I + Operates as...of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are… more
- Robert Half Accountemps (York, ME)
- …contract basis. This role involves working with healthcare billing processes, reviewing insurance claims , and ensuring accurate coding practices. Based in York, ... coding, with a strong understanding of ICD-10 standards. * Familiarity with medical insurance claims processes and collections. * Proficiency in using medical… 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
- Robert Half Accountemps (Los Angeles, CA)
- …and manually, as needed, and uses all technology available to produce clean claims . * Interprets claims processing reports and applies information ... Biller must have 2 years of experience in billing insurance companies for hospital acute charges. The Medical Biller...information as necessary in order to produce a clean claim . * Meets or exceeds productivity standards in the… more
- Robert Half Accountemps (Akron, OH)
- …join our administrative or healthcare support team. This position is responsible for processing claims , working on denials, posting payments, and managing bill ... claims and documentation. + Review, research, and resolve claim denials in a timely manner. + Post payments...billing tasks as needed. Qualifications: + Prior experience in claims processing , payment posting, billing, or related… more
- Lithia & Driveway (Sterling, VA)
- …they occur. + Check each repair order against the vehicles' service history to avoid processing duplicate claims or submitting claims for + shop comebacks. + ... Review and process all returned/rejected/adjusted warranty claims , track each claim until its final...PTO + Short and Long-Term Disability + Paid Life Insurance + 401(k) Retirement Plan + Employee Stock Purchase… more
- TEKsystems (Delavan, WI)
- …and RMAs to prevent aging of accounts receivable. + Report daily metrics on claim status, including processed and oldest claims . + Initiate root cause ... About the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role is responsible for managing and… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- CVS Health (AZ)
- …payers to discuss billing, reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... of billing representatives responsible for accurate and timely submission of claims and ensuring clean billing practices that support optimal reimbursement.… more
- Kemper (Birmingham, AL)
- …all activities for Accounts Payable, Billing, Escheatment, Travel & Entertainment Expense Processing , Vendor Processing , Payroll, Check Services, and 1099 ... input and advice as a subject matter expert across several topics including payment processing methods, NACHA Operating rules and Debit Card processing + Help… more