- Buffalo Hearing & Speech Center (Buffalo, NY)
- …+ Follow up is to be done bi-monthly on assigned controls to include corrected claims , appeals , phone calls, or provider rep assistance to assure any missing or ... charge amounts, etc to assure accuracy before sending to insurance payer. + Sends reviewed superbills via electronic or...flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer… more
- Dignity Health (Bakersfield, CA)
- …knowledge of DHPR and CMS rules for Claim. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business. + Bachelor's ... teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals . Their work goes beyond extraction; ... degree. * Knowledge of managed care and health care claims preferred. * Experience with Databricks preferred. Compensation and...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life… more
- The County of Los Angeles (Los Angeles, CA)
- …and unemployment insurance proceedings for purposes of asserting liens or claims for the recovery of support debts. Initiates and responds to motions, discovery ... the preparation of child support cases. Makes recommendations for appeals of routine child support cases. Confers with custodial...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Highmark Health (Denver, CO)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary ... through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. +… more
- UIC Government Services and the Bowhead Family of Companies (Atlanta, GA)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... DHS in appellate proceedings before the Board of Immigration Appeals , and providing support and direction to the Department...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Tufts Medicine (Tyngsboro, MA)
- …claims to health insurers, follows up with health insurers about submitted claims , and performs appeals for non-clinical denials, etc. An organizational ... or equivalent 2. Two (2) years of experience in revenue cycle, medical billing and/or cash posting **Preferred Qualifications:** 1. Associate's Degree 2. Epic… more
- Robert Half Legal (Oakland, CA)
- …in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired ... cases, including but not limited to discrimination, harassment, retaliation, and whistleblower claims * Provide legal advice and counsel on matters related to FLSA… more
- Prime Healthcare (Passaic, NJ)
- …stop loss claims , implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance ... and retrieve collection and patient information. Is able to write effective appeals to insurance companies. #LI-TW1 Qualifications Education and Work Experience… more
- Surgery Care Affiliates (Boise, ID)
- …practices for resolution and reassignment of accounts. + Possess basic knowledge of medical terminology and health insurance billing. + Have ability to ... as a patient account representative. + Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals , self-pay billing, Medicare… more