- University of Virginia (Charlottesville, VA)
- …responsibilities depending on their work assignment. + Reviews documentation in medical record to appropriately assign ICD-10-CM, CPT-4, HCPCS and modifiers within ... by providers at all locations. Encounters may be within Epic, outside electronic medical record systems, or based on paper documentation. + Monitors, analyzes, and… more
- Methodist Health System (Dallas, TX)
- …as a proactive point of contact for benefit vendors, ensuring timely resolution of inquiries related to eligibility file reconciliation. + Provide exceptional ... maintaining organized employee files. + Proactively manage and process FMLA/LOA claims across the organization, ensuring compliance with Methodist policies and… more
- MTC (Rosharon, TX)
- …of available insurance benefits, procedures, etc. Coordinate with insurance company regarding claims , resolution of problem cases, etc. 6. Provide follow-up ... hour** **Schedule** - Full Time, Monday - Friday **Benefit package includes:** + Medical , vision, and prescription drug benefits + Dental benefits + Life insurance +… more
- NHS Management, LLC (Northport, AL)
- …of all routine and tasks, including but not limited to: + + Resolution of rejections, denials and PA's associated with all adjudicated Medicaid, Medicare D ... or Private Insurance claims . + Serves as the Communication liaison regarding medication...Data Entry, Business Office staff, Resident's, Responsible Parties, Physicians, Medical Directors and PDP's/Insurance plans. + Advises resident and… more
- University of Rochester (Rochester, NY)
- …date from the payer. - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, ... - - Follow up with payers on incorrectly paid claims through final resolution and adjudication, including...obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical… more
- University of Rochester (Rochester, NY)
- …Documents all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. ... or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician… more
- Festival Foods (WI)
- …and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist . Prepares and delivers ... settling motions, pretrial filings and conferences. + Oversee and review vocational reports and medical record reports related to various claims lines. + Act as… more
- Travelers Insurance Company (Las Vegas, NV)
- …with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment ... the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution . This...their medical treatment plan. + Contact customer, medical provider and injured parties on claims … more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- … claims . Meets regularly with the Chief of Human Resources to review claims ' status and develops strategies for resolution . + In partnership with building ... Leave Coordinator JobID: 14642 + Position Type: Specialist /Supervisor/Technician/ Specialist + Date Posted: 8/6/2025...for all leave of absence cases and workers' compensation claims . Effectively coordinates all cases/ claims to include… more
- TEKsystems (Silver Spring, MD)
- …follow-up for hospital claims that remain unpaid after 180 days. The specialist will investigate outstanding claims , determine the necessary next steps, and ... of the client's internal billing system is expected, the specialist will either guide in-house billers on corrections or...Responsibilities: + Review and follow up on aged hospital claims (180+ days) + Investigate claim status and determine… more