- Goodwill of the Finger Lakes (Rochester, NY)
- …and billing information. Provide assessments and progress notes that will substantiate associated insurance claims . + Provide Oversight on Medical Billing for OT ... and Resolve Rejected Claims - 5% + Through EMR system, respond to any rejected claims and provide necessary details to resolve. + Collaborate with… more
- LG Energy Solution (Holland, MI)
- …reviewing such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies ... investigate, and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process + Provide support… more
- Highmark Health (Blue Bell, PA)
- …Knowledge of claims terminology is preferred. **Required Knowledge/Skills:** 1. Knowledge of insurance or claims terminology and ability to work in a fast ... management, peers and other areas within the organization. Work with external PPOs and claims staff to resolve PPO repricing issues. (40%) + Perform other duties as… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in one of the following: * EPIC Resolute Hospital Billing and Professional Billing Insurance Claims Follow-Up - within 12 months of hire -or- * Resolute ... in healthcare contract variance analysis, including an in-depth knowledge of healthcare claims processing -OR- * An approved equivalent combination of education and… more
- MetLife (Bloomfield, CT)
- …Federal Leave Laws. * Prior experience with PFML, FMLA, Absence Management or Disability Claims . * Experience handling insurance claims (auto, home, life, ... to appropriately determine liability. * Maintain active oversight of leave claims from initiation to closure following appropriate policies and procedures around… more
- Community Health Systems (Antioch, TN)
- …or a related field preferred + 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Sedgwick (Memphis, TN)
- …**Skills & Knowledge** + Knowledge of accounting procedures + Knowledge of insurance programs, claims and implications to outstanding receivables + Excellent ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Billing Representative **PRIMARY PURPOSE** : To analyze and reconcile assigned… more
- ProSmile (Manahawkin, NJ)
- …the use of MS Office software applications + Remarkable understanding of dental insurance claims + Excellent interpersonal skills and communications abilities + ... + Promote in office marketing items + Gather and submit claims and documents required by Insurance companies + Set up patient account in auto pay system… more
- Wawa, Inc. (IA)
- …reduce those costs where possible. Manage a team of subject matter experts in insurance , finance, and casualty claims . Review and approve insurance ... Verify proper execution of procedures through management of the insurance procurement and claims management for Wawa....through management of the insurance procurement and claims management for Wawa. Provide recommendations to the Sr.… more
- Northwell Health (New Hyde Park, NY)
- …experience, required. Job Preferences: + Healthcare experience, specifically in health insurance (commercial) preferred + Claims experience, understanding ... claims reimbursement/payment methodologies eg DRG, Case Rate, % of Medicare/Charges and medical billing codes eg, DRG, CPT, HCPCS, Revenue Codes, Bill Types, etc. preferred + Ability to pull data via SQL preferred. Any additional tools, languages are a plus… more