- USAA (St. Louis, MO)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process...high standards of productivity through effective desk management, timely follow ups, and accurate mapping of repair plan and… more
- OhioHealth (Mansfield, OH)
- …professional care and treatment ; investigates the validity of the complaint/ claim , analyzes medical records, interviews associates as indicated, negotiates ... variance reports, et c and identifies those having professional liability claim potential; initiates follow -up and/or investigative activities where indicated;… more
- Zurich NA (Schaumburg, IL)
- …medical knowledge by validating the appropriateness of medical treatment and medical bill charges against compensable injury. + Follow Best Practices and ... Medical Bill Review Senior Nurse 127127 Zurich Insurance...and resolve issues by working with corporate law, Technical Claims and other, as necessary. + Prepare, attend and… more
- University of Virginia (Charlottesville, VA)
- …collaboration with Pediatric Otolaryngology surgeons. * Conduct new patient evaluations, medical and surgical follow -ups, and symptom-based consultations. * ... learning activities. * Maintain accurate and timely documentation in the electronic medical record (EPIC). * Participate in clinical teaching of medical … more
- Aerotek (Hanover, MD)
- …FUNCTIONS** + Provide ongoing training on workers' compensation process including investigation, claims management and follow -through + Perform monthly audit of ... to polices for attendance and schedule. + Ensures that Claim Management team and adjudicates claims according...workers compensation program + Monitors and updates state required medical panels and develops special handling for medical… more
- University of Southern California (Alhambra, CA)
- … rejections and denials which might prevent or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in ... responses to payer's reason for coding-related ' claims denials' and ' claims rejections'-including documentation and an argument and follow up with the PFS… more
- Hartford HealthCare (Farmington, CT)
- …programs and evaluates the effectiveness of the training, importance of quality follow -up and documentation. Collaboratively and independently in the creation of new ... for internal or external audits related to billing and claims . Research payer policies from in and out of...cycle experience. *Experience* . Minimum: 3 to 4 years medical billing or accounts receivables in a medical… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Description:** Responsible for ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, ... **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position… more
- Cognizant (Topeka, KS)
- …stakeholders and other teams. **In this role, you will:** . Perform comprehensive follow -up on hospital claims to resolve outstanding accounts receivable. . ... Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged...management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and… more
- Albany Medical Center (Albany, NY)
- …following tasks and areas are managed per policy on a daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor ... appeals for claim denied erroneously Validate timely resolution of ...skills Proficiency with Microsoft Office Applications Intermediate knowledge of medical terminology Ensure daily team compliance with Professional Image… more