- Avera (Sioux Falls, SD)
- …denied claims . + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers. + Communicates with internal ... for complete follow-up of patient accounts, working closely with insurance companies and internal team members to resolve account...the claims resolution process to ensure timely claims processing .) Identifies the need to rebill… more
- NBC Universal (Universal City, CA)
- …and external audit requests, including guild audits. + Collaborate with guilds to resolve claims and escalate issues as needed. + Lead and participate in testing and ... is eligible for company sponsored benefits, including medical, dental and vision insurance , 401(k), paid leave, tuition reimbursement, and a variety of other… more
- Trinity Health (Fort Wayne, IN)
- …2. Experience with adjudicating prescription claims , corresponding with insurance companies and processing payments, strongly preferred. 3. Familiarity ... copays at the time of scheduling. Submit Medicare B claims Submit Major Medical claims (primary and...HCPCS J-codes preferred. 9. Knowledge of posting denials and processing payments from both third-party insurance companies… more
- Two95 International Inc. (Omaha, NE)
- …skills. * Knowledge of healthcare insurance industry including Enrollment, Billing, Claims Processing , EDI required. * Candidate has to explain the medical ... insurance business processes outlined below and also have experience... processes such as: Providers processes, Enrollment processes & Claims * Regression test scenarios design and creation creation… more
- Actalent (Montville, NJ)
- …laws, prescription management, and dispensing guidelines. + Proficiency in order entry, claims processing , labeling, insurance coordination, and healthcare ... contract assignment. This role is critical in ensuring accurate prescription processing , compliance with regulatory standards, and exceptional patient care. If you… more
- Catholic Health Services (Greenvale, NY)
- …(HIPAA). + Billing and Insurance : Assist with billing processes, including insurance verification, coding, and processing claims . Follow up on ... unpaid claims and communicate with patients regarding their billing. + Document Management: Prepare and maintain documents such as patient forms, consent forms, and referral letters. Handle correspondence between patients, physicians, and other medical… more
- HUB International (Atlanta, GA)
- …+ Experience in the insurance industry, particularly in policy administration, claims processing , or underwriting. + Proven experience in data migration ... technologies. The ideal candidate will have experience in the insurance industry, strong technical skills, and the ability to...and as part of a team. + Familiarity with insurance software systems and platforms, AIM & Image Right,… more
- Walmart (St. Louis, MO)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible ... and procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more
- Bozeman Health (Bozeman, MT)
- … from third party payers. Supports the timely development and accurate submission of claims to third party payers to include insurance follow-up related to no ... claims , claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that...when necessary, routes claims for appeal, resubmits claims , or moves balances from insurance responsibility… more
- Walmart (Janesville, WI)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible ... and procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more