- ZOLL Medical Corporation (Pittsburgh, PA)
- …systems to follow current workflow processes to ensure timely follow up on assigned claims + Contact patients, physician offices and insurance companies to relay ... necessary edits on HCFA 1500 claim forms + Write appeals to insurance companies to overturn denied...insurance companies to overturn denied or incorrectly paid claims + Understand and resolve credit balances and write… more
- Cognizant (Annapolis, MD)
- …assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals , and retro-authorization as well as timely filing ... with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims / appeals information on relevant tracking systems . Utilize critical… more
- Centene Corporation (Salem, OR)
- …to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex ... as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move...cases and medical necessity appeals . + Participates in provider… more
- Centene Corporation (Jefferson City, MO)
- …to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex ... cases and medical necessity appeals . + Participates in provider...would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services… more
- State of Colorado (Denver, CO)
- …comprehensiveState of Colorado benefits package (https://stateofcoloradobenefits.com/) including competitive medical and dental health plans, employer-paid life ... of consume r protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace… more
- Maxim Healthcare (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts....& weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan with company matching +… more
- Rush University Medical Center (Chicago, IL)
- …outstanding claims , including timely appeals for denied or rejected claims . + Verifying insurance coverage and patient information. + Identifying and ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: HB Govt… more
- Omaha Children's Hospital (Omaha, NE)
- …and daily management for insurance and government collections to include claims , A/R follow-up, denials and appeals . This includes supervising, monitoring, ... (EDI) transaction formats, third-party payor contracts and federal and state medical coverage programs. They hold themselves accountable for professional development… more
- Omaha Children's Hospital (Omaha, NE)
- …and daily management for insurance and government collections to include claims , A/R follow-up, denials and appeals . This includes supervising, monitoring, ... (EDI) transaction formats, third-party payor contracts and federal and state medical coverage programs. They hold themselves accountable for professional development… more
- SERV Behavioral Health System (Hamilton, NJ)
- …assists with onboarding new staff member. RESPONSIBILITIES: + Prepares and submits claims to insurance companies for behavioral health services. + Responsible ... within the standard billing cycle timeframe. + Identifies corrected claims and process all claim appeals . +...electronic health records (EHR) systems. + Strong understanding of medical coding (eg, CPT, ICD-10) and insurance … more