- Corewell Health (Grand Rapids, MI)
- … medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical , pharmacy ... and behavioral health authorizations, customer service interactions, prescription claims , medical policies, and plan documents).Evaluate information gathered to… more
- North Carolina State University (Raleigh, NC)
- …up on those investigations, and submitting appeals for those denied claims ; + Verifying essential documentation including insurance cards, insurance ... Insurance Specialist position offers both dental and medical insurance services . The Insurance...use of insurance portals. + Filing dental insurance claims and pre-treatment estimates for privately… more
- Robert Half Accountemps (Glen Burnie, MD)
- …billing practices and a commitment to delivering exceptional service. Responsibilities: * Submit medical claims to insurance companies and ensure timely ... will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Centene Corporation (Jefferson City, MO)
- …services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals . + Participate in provider network development and new ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- CenterWell (Boston, MA)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work… more
- Rochester Regional Health (Rochester, NY)
- … Claims and Appeals Processing: Submits and follows up on insurance claims ; resolves denials and rejections; prepares appeal letters with proper ... Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied … more
- St. Bernard's Medical Center (Jonesboro, AR)
- …input of charges and verify accuracy of the entered data. Filing of electronic claims and working of the insurance reports every morning. Calling insurances to ... Education + High school graduate is required. Completion of medical terminology and coding classes in ICD-9-CM. + Experience...codes as well as communicating with the public and insurance carriers. + Physical + This is a safety… more
- University of Colorado (Denver, CO)
- …. + Manages and responds to student and parent requests and inquiries related to medical and dental insurance plans and student health insurance policies and ... coverage, deadlines for compliance, application forms, the waiver and appeals processes, etc. through counseling sessions. + Develops and...with the vendors who contribute to the Student Health Insurance plans across the Anschutz Medical and… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move...insurance + Teledoc services for those enrolled in medical insurance + Supportive, progressive, fast-paced environment… more