- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and… more
- Covenant Health Inc. (Knoxville, TN)
- …closely with Registration and Business Office personnel to resolve issues related to claims , coding, pre-cert, and denials appeals , and verifies that appropriate ... network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in… more
- Kelly Services (Columbia, SC)
- …and performing research as needed to resolve inquiries. + Reviewing and adjudicating claims and/or appeals . + Identifying incorrectly processed claims and ... processes adjustments and reprocessing actions according to department guidelines. + Entering claims into the claim system after verification of correct coding of… more
- AnMed Health (Anderson, SC)
- …Compliance issues in regard to HIPPA and Government Programs. Benefits * + Medical Insurance & Wellness Offerings. + Compensation, Retirement & Financial ... meaningful impact here. Responsible for handling billing for physician services, filing insurance , posting payments, and bank deposits. Acts as the primary contact… more
- City of Norfolk, Virginia (Norfolk, VA)
- …paid holidays, vacation and sick leave, employer paid pension plan, basic life insurance , voluntary participation in medical and dental, Section 457 deferred ... compensation, long-term disability, optional life insurance for self, spouse and children, medical and dependent care reimbursement plans, access to membership… more
- Manulife (NH)
- …been followed in accordance with established guidelines and policies. + Audit medical record summaries to ensure documentation is in accordance with our established ... research projects pertaining to risk assessment. + Process formal underwriting appeals and complaints. + Review underwriting fraud referrals for appropriateness and… more
- Rochester Regional Health (Rochester, NY)
- …the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed ... a Medical Office environment preferred . + Basic knowledge of medical billing, cording, collection processes, insurance policies and governmental regulation… more
- Alameda Health System (Oakland, CA)
- …actively appeals denied cases when necessary and assists physicians with appeals . Maintains minimal denial rates by Medicare, MediCal , private and contracted ... Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports… more
- Owens & Minor (Downers Grove, IL)
- …the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/ appeals payments. + Ability to edit and resubmit ... our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance , available on...claims for payment. + Prepares and reviews clean claims for submission to various insurances either electronically or… more
- BayCare Health System (Clearwater, FL)
- …+ Conduct thorough investigations by gathering relevant information, documentation, and medical records. + Triage, plan, and execute intake of Appeals ... management. + Identify trends or recurring issues in member grievances and appeals and recommend process improvements to prevent future occurrences. + Participate in… more