- PruittHealth (Norcross, GA)
- …variances, make corrections, and take appropriate corrective actions to ensure timely claim resolutions. 8. Evaluates accounts, resubmits claims , and performs ... reimbursement based upon services delivered and ensuring that the claim is paid/settled in the timeliest manner possible. 2....Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate… more
- STG International (Rockville, MD)
- …or any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical ... Program provides critical support in evaluating and managing workers' compensation claims , reasonable accommodations, Family Medical Leave Act (FMLA) requests,… more
- SERV Behavioral Health System (Hamilton, NJ)
- …Receivable Specialist will be responsible for billing and submitting claims and handling escalated billing and collection issues. The Senior Accounts receivable ... specialist serves as a subject matter expert in complex...within the standard billing cycle timeframe. + Identifies corrected claims and process all claim appeals. +… more
- The County of Los Angeles (Los Angeles, CA)
- …exposures, doses and probable biological effects; refers exposure cases to appropriate medical specialist in compliance with State law. Reviews and prepares ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more
- USAA (Charleston, SC)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Sedgwick (Raleigh, NC)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information Technology ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- Trinity Health (Davenport, IA)
- …and casualty loss reporting to TH IRMS department all actual and potential claims in accordance with the claim reporting matrix. Assists in acquiring ... a place to go when you're in need of medical attention. Our Mission is based on improving the...MercyOne Family! We are looking to hire a Risk Specialist RN! **Schedule:** + Monday-Friday + No holidays or… more
- WestCare Foundation (Dandridge, TN)
- …+ Claim Preparation & Submission: Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers. + ... with [specific billing software] is a plus. + Knowledge: Strong understanding of medical billing and coding procedures, insurance claim submission, and payer… more
- Bluestone Physician Services (Stillwater, MN)
- …: Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through ... with experience. Responsibilities : + Review and resolve all claims errors before claim is submitted for...plans + Knowledge of ICD-10, CPT, HCPCS codes and claim regulatory guidelines + Knowledge of medical … more