- Elevance Health (Grand Prairie, TX)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....and specialty care procedures. + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Main Street Bank (Marlborough, MA)
- …and legal requirements within the HRIS system. Including but not limited to, medical , dental, vision, PFML, UI, etc + Ensures required documents are completed ... benefit providers as part of assisting employees with any claim issues or concerns. + Reconciles monthly billing statements...+ Working with the TPA administer and track unemployment claims . + Ensures the 401(k) plan is compliant within… more
- St. Luke's University Health Network (Hamburg, PA)
- …service cash collections. Communicate effectively with all hospital departments, and follow through until patient treatment is completed. JOB DUTIES AND ... notes to track patient account activity and to communicate for downstream claim processing. + Responsible for contacting the Primary Care Physician and/or the… more
- St. Luke's University Health Network (East Stroudsburg, PA)
- …capture for physician practices. This includes managing Charge Review and Claim Edit Practice work queues, patient registration, coding diagnoses, insurance ... verification, and charge entry to maximize reimbursement as a clean paid claim . JOB DUTIES AND RESPONSIBILITIES: + Utilize fundamental billing and coding knowledge… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... about products, services, and prices. + Reviewing purchase order claims and contracts for conformance to company policy. +...goods or services to be purchased. + Monitor and follow applicable laws and regulations. + Arrange for disposal… more
- Terumo Medical Corporation (Chicago, IL)
- …Date: Oct 1, 2025 Req ID: 5131 Location: Chicago, IL, US Company: Terumo Medical Corporation Department: TIS Sales - Upper Midwest Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- Elevance Health (Wichita, KS)
- …+ Coordinates communication process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns + Conducts routine outreach ... corrective action plan implementation and monitoring education and non-routine claim issues + May coordinate Provider Manual updates/maintenance + Identifies… more
- CareFirst (Baltimore, MD)
- …ensuring they can successfully utilize electronic tools, navigate provider portal, follow established processes and procedures. Partners with Provider Training and ... procedures, including experience with providers, training, customer service, and claims processing. **Preferred Qualifications:** + Bachelor's Degree in business,… more
- Covenant Health Inc. (Knoxville, TN)
- …CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, ... guidance to office staff for correction of charge entry errors. + Analyzes claim denials, looking for trends. Investigates errors. Reports findings to CBO Operations… more
- UPMC (Washington, PA)
- …recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow -up in accordance with Revenue ... $component.getFieldValue($data)" id="qualificationInt-value" formfieldid="qualificationInt" + Must have 1 year of claims /billing/collections experience; OR 4 years in a business office… more