- Nuvance Health (Danbury, CT)
- …submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. ... claim submission. 2. Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims . 3. Responds to… more
- AmeriHealth Caritas (Newark, DE)
- …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor , Appeals and Grievances, this position is responsible for the ... coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management...Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day… more
- Carnival Cruise Line (Miami, FL)
- …planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. + ... duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk...reports to shoreside leadership. + Work with Seafarer Medical Supervisor to have crew members enrolled from Crew Medical… more
- Fedcap (New York, NY)
- …provider, facility, place of service, medical service and coding are billed. + Submit claims to insurance companies on a daily basis. + Evaluate and ensure ... provides support and reports directly to the Medical Billing Supervisor . A member of the Finance team is responsible...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- Nuvance Health (Danbury, CT)
- …for designated groups of accounts by payer.i? 1/2i? 1/2Insures that all claims are compliant with State and Federal billing regulations and contractual ... claim submission. 2. Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims . 3. Responds to… more
- Guidehouse (El Segundo, CA)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... offices and three days from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow...team members when needed + Supporting of staff / supervisor to be successful and work as a team… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …+ Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. + Complete… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- Peachtree Orthopedics (Atlanta, GA)
- …Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts; ... impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution. +...with minimal or no assistance necessary. + Independently assess claims edits and other billing messages to resolve any… more
- ConvaTec (Oklahoma City, OK)
- …completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits ... claims . + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including… more