- Service Source (Lakewood, CO)
- …and SSDI benefits using the SOAR model, offering support throughout the entire claims process. They assess eligibility, coordinate medical and mental health ... like Medicaid and Long-Term Care, while maintaining detailed records and writing medical summary reports. Primary Duties Reasonable accommodations may be made to… more
- AmeriHealth Caritas (Philadelphia, PA)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; ... counterparts as needed to ensure proper handling of the appeal eg UM team, medical directors, claims , contact center, vendors as needed (eg PerformRX) + Creates… more
- HCA Healthcare (Anchorage, AK)
- …will correct rejected claims and re-bill in a timely manner + You will follow -up with insurance companies to ensure receipt of bills within 28 days What ... 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… more
- Owens & Minor (Downers Grove, IL)
- …our success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance , available on first working day + 401(k), ... issues that involve account integrity. The representative will also follow -up with payers to facilitate uninterrupted cash flow. **Job...to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims … more
- Elevance Health (Indianapolis, IN)
- …findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Title:** Sr Investigator **Locations:** Indianapolis, IN, Columbus,… more
- Robert Half Accountemps (Los Angeles, CA)
- …knowledge of handling medical denials and appeals. * Expertise in working with medical insurance claims and resolving discrepancies. * Ability to analyze ... ideal for someone with expertise in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm accuracy… more
- Elevance Health (Los Angeles, CA)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely and… more
- Baylor Scott & White Health (College Station, TX)
- …other); d) the 'lessons learned' from studying the event. + Assists the Manager of Insurance in managing claims related to property loss and visitor injury. + ... position will support two hospitals; Baylor Scott & White Medical Center - Round Rock and Baylor Scott &...patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM… more
- Aligned Modern Health (IL)
- …payers. + Review unpaid and/or denied claims and submit appeals. + Follow -up with insurance companies, addressing denials and rejections, etc. + Perform ... when multi-tasking. Candidate must have knowledge in accounts receivables, medical insurance process, and insurance ...patients in "real time"' or through comprehensive and timely follow -up. + Correct and resubmit claims to… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance Carriers. Collect, post, and manage patient ... and correcting coding errors. Ensure healthcare facilities are reimbursed for all procedures. Follow Up on accepted or denied claims . Review denied claims… more