- Masonicare (Wallingford, CT)
- …established procedures. - Works with - operations to resolve - issues that impact claims processing . Brings problems and delinquent responses to the attention of ... claims that are eligible for billing to intermediaries, insurance companies, third parties and patients. Processes claims...Manager. Process- corrections - and generate- claims for re- processing . - - Reviews denials… more
- Office of Justice Programs (Washington, DC)
- …complex programs governed by law, regulation and procedures; In handling Torts, insurance claims , workers' compensation or similar matters; or Public Safety ... with the PSOB Office, work assignments, and timely case processing . Develops policies and procedures to streamline legal reviews,...the public about the PSOB Program and the PSOB claims process. Provides information and guidance to the Office… more
- Covenant Health Inc. (Knoxville, TN)
- …correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for billing and ... communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal and… more
- Michaels (Carpenter, IA)
- …working with TPA in communicating with carriers in putting them on notice when claims meet recording requirements from the insurance policy. + Maintain prompt ... and assist in addressing them. The Manager - Enterprise Risk oversees claims administration, claims management, and implementation of appropriate policies and… more
- Guthrie (Sayre, PA)
- …of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions ... for more streamlined processing . Prepares reports as required and requested. Works with insurance payers on problem claims and processes. Resolves… more
- UNC Health Care (Raleigh, NC)
- …rules, operating and maintenance instructions, federal, state and third party claims processing requirements and regulations and procedure manuals. Ability ... to draw and interpret bar graphs.COMPUTER SKILLSAbility to use hospital and medical claims processing software. Working knowledge of Word, Excel, Schedule Plus,… more
- PruittHealth (Norcross, GA)
- …and ensuring that correct diagnosis, and procedure codes are utilized. 4. Submits Insurance claims , including the maintenance of bill holds and the correction ... and techniques related to compliant healthcare billing/collections * Familiarity with Insurance Claims management functions in non-acute settings * Knowledge… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims , identify problems, and takes ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a… more
- University of Rochester (Rochester, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identifies problems, and takes ... calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established...claims . 15% + Follows established procedure for missing insurance payment information on claims . + Keeps… more
- Ryder System (Augusta, ME)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... Rico; advanced level. Demonstrated ability to handle large exposure and complex insurance and contractual coverage exposure claims ; advanced level. experience in… more