- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA)… more
- Catholic Health Services (Greenvale, NY)
- …Billing and Insurance: Assist with billing processes, including insurance verification, coding, and processing claims . Follow up on unpaid claims and ... are seeking a dedicated and detail-oriented Administrative Secretary to join our medical practice. In this role, you will provide essential administrative support to… more
- UNC Health Care (Smithfield, NC)
- …issues with Research Accounts to ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the ... carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources… more
- Highmark Health (Wexford, PA)
- …Compliance: Responsible for all preauthorization entries into applicable databases (ie, internal medical claims systems, PBM pharmacy systems) to ensure swift ... include the coordination and administration of effective and efficient processing for pharmacy benefits prior authorization processes, insurance evaluations,… more
- Capgemini (Chicago, IL)
- …VI, VII, IX), and ICH E2 (E2A-E2F). + Direct experience with ICSR processing : intake, triage, medical review, causality assessment (WHO-UMC, Naranjo), MedDRA ... reporting (PSURs, PBRERs, DSURs) + Signal detection, risk management, and ICSR processing + Safety compliance (GVP, FDA, ICH E2 guidelines) Project Management and… more
- Trinity Health (Pontiac, MI)
- …corrected words/minute. + Work requires the ability to balance accounts and knowledge of claims processing , payments, and adjustments. + Work volume is high, and ... equivalent work experience in order to gain knowledge of medical terminology, anatomy/physiology, familiar with medications, abbreviations, chemical symbols, charge… more
- The County of Los Angeles (Los Angeles, CA)
- …support functions, Financial Control, Cataloging, Materials Management and Processing , which includes the supervision of professional and/or paraprofessional ... standards and local needs. Directs the operation of the Processing Section including adding item records to the database...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Byline Bank (Chicago, IL)
- …with supervisors and managers from Deposit Services, Wire Operations, Exception Processing , and Card Services to support daily operations and maintain compliance. ... customer and account maintenance tasks, including updating dormancy status, processing stop payments, applying posting restrictions, and other related activities.… more
- Cracker Barrel (Lebanon, TN)
- …cash and check deposits to verify ownership and ensure timely processing . This includes coordinating with internal departments to confirm proper classification ... Collaborate with Risk Management to gather details on significant claims . + Compile payroll data by location and department...Bonus Opportunities + Support That Goes Beyond the Clock: Medical , Rx, Dental and Vision Benefits on Day 1|… more
- Tufts Medicine (Boston, MA)
- …Monday through Friday from 8:00 AM to 4:30 PM **Location:** Onsite at Tufts Medical Center - Boston, MA **Job Profile Summary** This role focuses on activities ... related to revenue cycle operations such as billing, collections, and payment processing . In addition, this role focuses on performing the following Patient… more
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