- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information ... invited lectures and speaking engagements for the provider. - Researches hospital medical records for information requested by physicians, insurance companies… more
- Carle Health (Champaign, IL)
- …Link Access Specialist is responsible for the coordination, processing, and scheduling of medical referrals and prior authorizations for a variety of medical or ... referrals of Health Alliance patients stay in-network for their specific insurance plans. Qualifications Certifications: , Education: , Work Experience: Related… more
- HCA Healthcare (Nashville, TN)
- …rate reviews; Facilitate vendor negotiation of all Health and Group products including Medical , Dental, Vision, Life Insurance , Long Term Disability, Stop Loss, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...+ Oversee operations of Health & Group plans including claims administration and employee appeals process. +… more
- New York State Civil Service (New York, NY)
- …including rates of medical necessity approvals and denials, rates of appeals , claims paid; and cost-sharing requirements;* Reviews the health care provider ... Bureau. Duties include, but are not limited to, the following:* Reviews health insurance programs and health care reform initiatives in relation to mental health and… more
- University of Rochester (Rochester, NY)
- …edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and ... Research hospital medical records for the information requested by physicians, insurance companies, and attorneys. + Determines the order of daily surgeries and… more
- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and ... Research hospital medical records for the information requested by physicians, insurance companies and attorneys. + Determines the order of daily surgeries and… more
- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information ... invited lectures and speaking engagements for the provider. - Researches hospital medical records for information requested by physicians, insurance companies… more
- City of Jacksonville (Jacksonville, FL)
- …to meet the diverse needs of our employees. Our comprehensive benefit programs include medical , dental and vision plans; life insurance coverage for you and your ... employment? Do you want low and no cost health insurance options? If you answered "yes" to any of...preparing family budgets. + Represents clients with respect to claims or applications for benefits, social services, and public… more
- TORKLAW (Las Vegas, NV)
- …+ 10 days of paid vacation annually + 6 days of sick leave annually + Medical insurance + 401(k) with 4% fully vested safe-harbor company match + Regular firm ... setting up new client files; + Opening and reporting claims to insurance companies; + Placing statutory...collaboratively with your fellow team members; + Communicating with insurance adjusters, medical providers, and other related… more
- Cardinal Health (Sacramento, CA)
- …may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively ... Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily… more