- Teva Pharmaceuticals (Parsippany, NJ)
- …Administration oversees the entire chargeback process, ensuring accurate and timely processing of claims , managing team performance, and maintaining compliance ... + Operational Excellence + Oversee the complete chargeback lifecycle, including claim validation, processing , reconciliation, and dispute resolution. + Serve… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... May transfer secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and… more
- St. Luke's University Health Network (Hamburg, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Responsible for contacting the Primary Care Physician ... patient prior to and after their testing is completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- Stanford Health Care (Palo Alto, CA)
- …collection, and resolution of all payor accounts; direct the day-to-day activities of insurance claim editing and billing, insurance follow-up, denial and ... and payors and results of efforts will drive actions to secure payment for all claims sent to payors. The Senior Manager serves as a resource to faculty, managers,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …work with. We love serving our members and find purpose in supporting them. The insurance process can be frustrating and we are here to help. The Customer Service ... scheduling translation services Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or… more
- Sierra Nevada Company, LLC (Sparks, NV)
- …+ Assist or manage the company's insurance programs, including policy renewals, claims processing , and coordination with insurance providers. + Identify ... of Risk Management processes with respect to coverage placement, contract review, insurance compliance, claims management, insurance recovery, and other… more
- Trinity Health (Ann Arbor, MI)
- …medical terminology, diagnostic coding & procedural coding required. Ability to explain insurance benefits. Responsible for analyzing, processing & editing for ... customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that… more
- Astrix Technology (Trumbull, CT)
- …receivable, resolve claim denials, and follow up on unpaid or rejected claims + Research insurance eligibility issues, payer trends, and refund requests; ... prepare documentation for processing **Qualifications** + Associate degree or equivalent relevant experience...+ Working knowledge of CPT, ICD-10, EOBs, CMS-1500, and insurance billing practices + Strong understanding of in-network vs.… more
- Hannaford (South Burlington, VT)
- …written prescription forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system ... for invoices, manual insurance claims , daily reports, etc.. in accordance...Relay specific communications to customer from technician or pharmacist processing prescription. * Maintain solid communication within the department.… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and census entry to ensure accurate billing. + Verifying primary and secondary insurance coverage on residents. + Provide customer service and problem resolution to ... refund requests + Complex account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care, and private billing, claim… more
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