- UNC Health Care (Chapel Hill, NC)
- …organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. **Description** Become part ... 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve....duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or… more
- Elevance Health (MD)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Robert Half Office Team (Greenville, SC)
- …you will play a vital role in ensuring the accurate processing of medical claims while adhering to industry regulations and organizational policies. This ... with high precision prior to final adjudication. * Process medical claims in compliance with provider contracts,...advanced cases to management when required. * Utilize electronic health record (EHR) systems and other software tools to… more
- Sharp HealthCare (San Diego, CA)
- …practices. **What You Will Do** Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees ... management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan...Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42137BR** **Extended Job Title:** Medical Billing Associate **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Employee in this ... account information, correcting edits, performing follow up on unpaid claims , billing or re-billing claims to appropriate...year's experience in business office operations, preferably in the medical office field. + Knowledge of medical … more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...our patients by providing timely and accurate billing of claims to insurance companies for healthcare reimbursement. In this… more
- Atlantic Health System (Summit, NJ)
- …EPIC Relevant Experience: + Minimum of 1+ years of experience in Patient Access, Medical Office, Health Insurance or relevant area. At Atlantic Health ... contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of ... care, spine surgery, wound care, and primary care medical home (PCMH). Atlantic Health System offers… more
- Highmark Health (Lincoln, NE)
- …This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Bozeman Health (Bozeman, MT)
- …main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities, hospital (HB) and/or professional (PB) claims ... from third party payers. Supports the timely development and accurate submission of claims to third party payers to include insurance follow-up related to no… more
- Fairview Health Services (Hibbing, MN)
- …varying claims requirements, multiple computer system capabilities relating to claims production, and admitting/ health information input as it affects ... in** **Hibbing, MN** **.** This role entails ensuring that claims are filed promptly with third party payors and...Fairview Range** Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health … more