- Commonwealth of Pennsylvania (PA)
- …obtaining and reviewing documents such as police reports, tax records, employment records, medical records, etc. Process claims for payment by calculating loss ... of crime, their families, and other claimants. You will conduct claim investigations, determine dispositions, and prepare reimbursements for victims or claimants.… more
- Hartford HealthCare (Farmington, CT)
- …timely and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... Specialists in their efforts to review and resolve issues related to insurance claim denials, no response claims and payment variances including underpayments… more
- Zelis (St. Petersburg, FL)
- …members achieve more favorable financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of Benefits ... to research claim issues and ensure accurate claim processing resolutions + Provide ongoing case follow...to Zelis: + Bachelor's Degree + 5+ years of medical claims & member benefit application experience… more
- University of Washington (Seattle, WA)
- …through work queues throughout the Revenue Cycle, including but not limited to Follow -up, Claim Edit, Charge Review, Account, Router Review, Retro Review and ... Practice Plan Services (FPPS)** has an outstanding opportunity for an **Insurance Follow -Up Specialist** to join our **Medicare** team **.** **WORK SCHEDULE** + 100%… more
- The Hartford (Hartford, CT)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards...partner with internal and external customers + Knowledge of medical terms is strongly preferred + Possess analytical and… more
- Surgery Care Affiliates (Boise, ID)
- …as a patient account representative. + Candidate MUST HAVE knowledge of medical billing, payer follow -up, payer contracts, appeals, self-pay billing, Medicare ... package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time… more
- Insight Global (Brentwood, TN)
- …are seeking a detail-oriented and highly organized Data Entry Specialist to support our medical records and disability claims processing team. In this role, you ... status of medical record requests, and ensuring timely communication and follow -through. You will also assist in cleaning up legacy records and supporting the… more
- Army National Guard Units (Camp Dodge, IA)
- …Program, Medical Disqualification Program, Follow up Health Care Program, Medical Claims Processing Program, Medical Travel and Orders Program, ... boards, and participates as required. Provides tracking, over-sight, assistance and follow -up to issues identified through all medical aspects of Soldier… more
- Houston Methodist (Houston, TX)
- …cycle teams to follow up on missing data that may delay claims submission and payment. Collaborates with internal CBO department and Account Managers to identify ... includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and… more
- PruittHealth (Norcross, GA)
- …taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions. 6. Conducts account ... services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to… more