- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate ... Bilingual preferred but not required. + Previous experience in case management handling insurance claims a plus. + Strong skills in medical record review. +… more
- Carle Health (Champaign, IL)
- Overview The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated ... care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related… more
- AmeriHealth Caritas (Newark, DE)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; ... appeals system and documents, all correspondence with a member/participant, representative and/or a provider, related to an appeal or...ensure proper handling of the appeal eg UM team, medical directors, claims , contact center, vendors as… more
- University of Michigan (Ann Arbor, MI)
- …team is looking for a highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital Billing Team. Responsible for ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the...and insurance collections. + You will initiate and process claims and other forms within prescribed guidelines; screening for… more
- The Institute for Family Health (New Paltz, NY)
- …philosophy, standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
- ProSmile (Parlin, NJ)
- …Coordinator in some offices + Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection controls and systems + ... facing role required + Working knowledge of dental or medical front desk duties and responsibilities preferable + Previous...Demands and Work Environment The physical demands described are representative of those that must be met by an… more
- Army National Guard Units (Concord, NH)
- …program. En coordination with the NGB J1-Functional Manager ensures prompt submission of claims and medical documents. Works with Department of Labor (DOL), ... for non-retention, mandatory removal date (MRD), mandatory separation date (MSD), medical disqualification, age 60, etc. Monitors and ensures the Federal Employees… more
- JBS USA (Greeley, CO)
- …clinical teams regularly. Oversee vendor relationships to ensure accurate processing of claims according to plan documents and adherence to performance guarantees. + ... Identify gaps in care coordination to ensure health partners provide a Patient Centered Medical Home model. Ensure quality of care is provided at the lowest possible… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …The individual will work cross-functionally with global teams, market access, medical affairs, and R&D to shape development strategies, optimize portfolio ... strategy, evidence generation, and market entry planning. Serves as a US representative on relevant GBT (Global Brand Teams) and/or other necessary governance teams,… more
- ProSmile (West Orange, NJ)
- …with unpaid insurance + Promote in office marketing items + Gather and submit claims and documents required by Insurance companies + Set up patient account in auto ... MS Office software applications + Remarkable understanding of dental insurance claims + Excellent interpersonal skills and communications abilities + Impressive… more