- Ices Inc (Naugatuck, CT)
- …problems with the carrier representatives. + Administer COBRA. + Coordinate workers' compensation claims with third-party administrator. Follow up on claims . ... from FMLA, workers compensation, or other leave(s). Other + Coordinate workers' compensation claims with third-party administrator. Follow up on claims .… more
- AON (Atlanta, GA)
- …language; Project Insurance Manual; Project Safety Standards; Project reports, eg Monthly/Quarterly/ Claims ; Stewardship Report; and Fee and premium invoices. + Acts ... evaluate program progress and issues. + Reviews periodic program claims reports and participates in periodic claims ...sponsor and enrolled parties. Review weekly AonWrap reports and follow up with Contractors for any missing documentation Work… more
- Baylor Scott & White Health (Austin, TX)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Covenant Health Inc. (Knoxville, TN)
- …action. Prepares necessary documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and ... , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice… more
- Guthrie (Binghamton, NY)
- …System process improvement. + Denials Adjudication 1. Facilitate review of rejected medical claims using clinical evidenced based tools and peer-reviewed ... plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes… more
- Sedgwick (Miami, FL)
- …+ Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical ...referred claims ; documents decision rationale; and completes medical review of all claims to ensure… more
- Methodist Health System (Dallas, TX)
- …receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... follow -up in accordance with Departmental protocol with an emphasis...depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- Summary The Advanced Level Medical Support Assistant (AMSA) position serves as a Consult Coordinator and is a foundational role within the continuum of patient care. ... Generating authorizations for pre-authorized outpatient, unauthorized and emergency care claims , while making eligibility determinations for the various programs in… more
- SUNY Upstate Medical University (Syracuse, NY)
- …portion of the registration. Monitoring the Epic Track Board throughout shift to follow up to admit patients with admit to Observation or Inpatient order. Complete ... Quality assurance and training, resolving ED Missing Reg Items work queues and claim edit errors, Assists with audits & analysis of denials. Assists with development… more
- Nissha Medical Technologies (Colorado Springs, CO)
- …2876 **Department:** Human Resources **Location:** Colorado Springs, CO Description Nissha Medical Technologies is seeking an experienced HR Generalist to join the ... fostering positive employee relations, managing leaves and workers' compensation claims , and driving employee engagement initiatives to enhance our workplace… more