- Henry Ford Health System (Detroit, MI)
- …Process and coordinate the resolution of assigned work queues in Epic to assist in the processing of claims . + Serve as a resource to inform patients and their ... services including areas such as hospitalization, professional services, pharmacy, home health, rehabilitation, DME and organ procurement limitations. + Coordinate… more
- Sunrise Senior Living (Boca Raton, FL)
- …regulations. **Risk Management** + Partner with the department coordinators in the processing of light duty and worker's compensation claims in order ... Sunrise quality service standards. Key areas of responsibility include processing payroll, daily time and attendance and human resource...to expedite return to full duty, close the claims , promote positive team member relations, and to reduce… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...support in a contact center environment + Work at home experience + State or Federal work experience COMPENSATION… more
- Mass Markets (SD)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and...are not allowed for accessing the client's Work at Home systems. + You must provide your own headset.… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Saint Francis Health System (OK)
- …to individual patient health information for data retrieval, analysis, and claims processing . Minimum Education: Commensurate education with achieving ... Certification: Certified Coder through AAPC, AHIMA, BCHH-C, HCCS for Home Health or National Healthcare Association. Applicants who have...a demonstrated thorough understanding of the content of the medical record in order to be able to locate… more
- Colgate-Palmolive (New York, NY)
- …Review benefit payments across sources to prevent overpayments and ensure accurate claims processing . Required Qualifications: + Bachelor's degree in Human ... products company operating in over 200 countries specializing in Oral Care, Personal Care, Home Care, Skin Care, and Pet Nutrition. Our products are trusted in more… more
- Montana Tech (Butte, MT)
- …(eg, MODFLOW-NWT, MODFLOW-USG, or MODFLOW 6) and associated pre- and post- processing software. + Strong technical writing and communications skills demonstrated ... reports and presentations listed in your resume. + Proficiency with common word- processing and spreadsheet software (eg, Microsoft Office). + A valid Montana… more
- WMCHealth (Poughkeepsie, NY)
- …practice pattern, a potential lawsuit, etc.) and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies ... leadership, direction and assistance to the hospital and the medical staff to achieve the goals of the Performance...etc.) and alerts the department director, administration, and the claims manager. Initiates a more thorough review to clarify… more
- LA Care Health Plan (Los Angeles, CA)
- …management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, ... clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other...the inpatient review team as necessary to ensure timely processing of concurrent reviews. Duties Provides the primary clinical… more