- Molina Healthcare (Bowling Green, KY)
- …the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Huron Consulting Group (Chicago, IL)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more
- Novant Health (Charlotte, NC)
- …patient. Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. ... patients and staff for billing and insurance questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution process. + Enters… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... works with one provider type, eg physician, ancillary, or medical group. Provides advice and analytic support to ...and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Select Medical (Canonsburg, PA)
- …you have a passion for helping people and solving problems? Join Select Medical as a **Bilingual Customer Service Representative** , where you'll support patients ... respond to inquiries + Resolve Billing Questions - Help patients understand insurance claims , balances, and account details + Keep Accurate Records - Document all… more
- Compass Group, North America (Bakersfield, CA)
- …**Job Summary** The **Safety Coordinator** will be responsible for reducing claims and lost time injuries by providing safety and workers compensation ... workers compensation procedures. Provide management with results/recommendations following inspection. Follow -up on progress. + Awareness / Incentives - Ensure that… more
- Billings Clinic (Billings, MT)
- …to resolve 835 remittance issues including, but not limited to: unapplied cash, claim exceptions, and partial pays. Provide claims resolution to ensure accuracy ... all full- and part-time employees (minimum of 20 hours/week), including Medical , Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution… more
- Hilton Head Christian Academy (Bluffton, SC)
- …all aspects of the interview process (phone, on-campus visits, any follow -up); extend offers to applicants; draft contracts; systematically monitor applicant ... with Broker for all health offerings; Assist employees with any claim issues or concerns; Process enrollments, changes, and terminations of participants… more
- ZOLL Medical Corporation (New York, NY)
- …geography is receiving the appropriate level of service with regard to ZOLL's medical devices with minimal disruption.Manage the follow -up process by working ... innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and… more
- Rising Medical Solutions (Chicago, IL)
- …a plus - CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager ... initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers. + Set up files in all appropriate systems; assign… more