- Sedgwick (Dubuque, IA)
- …Representative Sr **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on complex medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims… more
- City of Jacksonville (Jacksonville, FL)
- …presumption files. + Manage complex workers' compensation litigation case files. + Reviews medical bills and other services for which claims are made for ... the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability, and… more
- Community Health Systems (Vicksburg, MS)
- …all policies and standards. **Qualifications** + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required ... **Knowledge, Skills and Abilities** + Knowledge of medical billing processes, insurance claim procedures, and payer policies. + Strong understanding of… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …contractual, coding, payment policy, and regulatory standards. + Review itemized bills, medical records, and other claim documentation to verify coding accuracy ... Integrity office. This role is responsible for conducting pre-payment and post-payment claim audits to identify improper payments due to billing errors, coding… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved analyzing contracts,… more
- Leaffilter (Hudson, OH)
- …exchange and expedite claim processing. Track, compile, and analyze data on claims frequency, severity, and costs to identify trends. Ensure claims handling ... DEI Committee, Women's Committee. Position Summary: The Workers' Compensation Specialist manages claims from intake to resolution, serving as a resource and liaison… more
- Guthrie (Sayre, PA)
- Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and ... tertiary claims reviews and analyzes claims for accuracy,...questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie… more
- NTT DATA North America (Murrysville, PA)
- …resolve outstanding issues/ claims . **Job Duties** : * Third party insurance claim billing associated with the dispensing medication and using the bill method ... Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals… more
- Community Health Systems (La Follette, TN)
- …of experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required + ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- Saint Francis Health System (Tulsa, OK)
- …improve billing and Accounts Receivable management. Ability to manage and optimize claims workflows, with using Electronic Medical Record (EMR) and Electronic ... remittance processing using Epic Resolute Hospital Billing/Professional Billing (HB/PB) and associated claims tools (eg, Claim Edit Work Queues (WQs), Remittance… more