- Trinity Health (Albany, NY)
- …& Audit to develop and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer ... diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system...services. Using billing system work queues and natural language processing (NLP) tools to support addressing HCC codes for… more
- Corewell Health (Grand Rapids, MI)
- …center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing , and/or managed health care. + 1 year of ... Job Summary Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems,… more
- Highmark Health (Harrisburg, PA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- BJs Wholesale Club (Wayne, NJ)
- …jury duty leave.* + Flexible and Affordable Health Benefits: Choose from three medical plans, and access optional dental, vision, Health Savings Account (HSA), and ... maintained. + Administers all personnel paperwork, including completing and processing new hire paperwork, hourly wage increases, hourly promotions, terminations,… more
- Guardian Life (Charleston, WV)
- …AI. + Apply AI/ML to unstructured data sources such as insurance contracts, medical records, sales notes, and customer service logs. + Deliver solutions that enhance ... underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable processes, frameworks, and governance… more
- Lowe's (Frostproof, FL)
- …Flatbed Fulfillment Center (FFC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load ... for vacations, holidays and sick time, as well as access to top-tier medical , dental and vision insurance. For information about our benefit programs and… more
- National Express (Santa Ana, CA)
- …events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills ... in word processing and spreadsheets _Summit School Services has a zero-tolerance...and safeguarding of all children and passengers._ _We offer medical , dental, vision, basic life insurance coverage, holiday pay,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …will serve as primary contacts for medically needy patients. Responsibilities include processing provider claims , using computer system to record and report ... information, patient case finding, financial screening, program enrollment facilitation, non- medical counseling, case tracking, and preparing all necessary case… more
- Lowe's (Fairdale, KY)
- …for vacations, holidays and sick time, as well as access to top-tier medical , dental and vision insurance. For information about our benefit programs and ... XDT operations. + Perform daily tasks such as working alerts and queues, processing customer order changes, and utilizing multiple order management systems. + Manage… more
- Conduent (Chesapeake, VA)
- …navigating multiple systems and may also assist with back-office tasks like claims processing and general administrative work. Your strong communication skills, ... may be required. Growth opportunities! Health benefits for you and your family, including medical , dental, and vision, starting on day 1! **About the Role** As a… more
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