- Prime Healthcare (Redding, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible...professional fee claims , performing proactive follow up with payers… more
- MyFlorida (Tallahassee, FL)
- …OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... OPS MEDICAL DISABILITY EXAMINER - 64802096 Date: Oct 2,...both your inbox and junk folder daily for any follow -up correspondence regarding the hiring process for this ad.… more
- Commonwealth of Pennsylvania (PA)
- …health cases are referred for counseling, psychological, psychiatric, and medical services. Additional responsibilities include writing and preparing psychological ... more information on ways to meet PA residency requirements, follow the link (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) and click on Residency. +… more
- Zelis (Plano, TX)
- …Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, ... This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to… more
- CommonSpirit Health (Prescott Valley, AZ)
- …Generates bills or re-bills claims to insurance companies. Conducts timely follow up withinsurance companies regarding claim processing and payment status. + ... **This position is located on-site at** **the Dignity Health Yavapai Regional Medical Center (West Campus)** **location in Prescott AZ. 1003 Willow Creek Road… more
- Sedgwick (Tampa, FL)
- …to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reaches out to ... said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on...+ Provides quotes back to clients for approval or follow up on quotes already sent to obtain written… more
- Fair Haven Community Health Care (New Haven, CT)
- …various insurance companies either electronically or by paper when necessary + Work claims and claim denials to ensure maximum reimbursement for services ... We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay....itself on efficient billing services including the filing of claims , appeals processing, authorizations, and, above all, a great… more
- Highmark Health (Pittsburgh, PA)
- …approaches. + Work with operational areas to recover identified overpayments, performing a follow -up review to ensure that the claims were adjusted correctly, ... and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Analyze and evaluate claim processes specific to professional, hospital, ambulatory surgical center,… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- South County Hospital (Wakefield, RI)
- …patient safety, claims , and regulatory compliance to committees, leadership, and medical staff. + Manage the risk and feedback software reporting systems. + ... of all applications and required documentation. + Report actual and potential claims promptly to appropriate carriers and coordinate follow -up as needed.… more