- Elevance Health (Indianapolis, IN)
- …and dollar volume of provider. + Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts, medical ... by law._ The **Provider Auditor** conducts on-site reviews of medical charts, medical notes, itemized bills and...+ Verifies dollar amount on claim is correct in claims system and writes report of the findings of… more
- Robert Half Accountemps (Boca Raton, FL)
- …communicate updates to relevant teams. * Assist with corrections and resubmissions of claims to ensure proper follow -up and maximize reimbursements. * Serve as ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Abbott (Livermore, CA)
- …a proven track record of delivering scalable solutions. + Deep expertise in insurance claims systems and/or designing Salesforce platforms with API integrations. ... in large enterprise. + Prior experience with SOX, PCI, and HIPAA compliance + ** Insurance claims /Health Care Industry experience** **Misc: This role is based at… more
- Sedgwick (Salt Lake City, UT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **This Vocational Field Case Manager will cover our Salt ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Obtains and analyzes available medical and vocational information including vocational assessment, test results, and… more
- Guidehouse (Birmingham, AL)
- …227 Electronic Files + 835 Electronic Files + UB04's and 1500 Claim Files + Medical Record + Making outbound calls to Insurance Companies to resolve claim ... reflects our commitment to creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and Family Sick… more
- Fallon Health (Plymouth, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief Summary...but not limited to working with providers to arrange medical and behavioral health appointments and following up with… more
- Spectrum Billing Solutions (Skokie, IL)
- …of Commercial Insurance and Government Payor guidelines + Understanding of insurance benefits and reimbursement + Proficient in medical terminology, HIPAA ... denials + File appeals on denied or underpaid claims + Check claim status on appropriate payor systems...multi-task and meet deadlines + Ability to comprehend various insurance documentation, analyze and reconcile accounts and follow… more
- Caris Life Sciences (Irving, TX)
- …patient insurance information needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in ... Our Verification/ Authorization Associates are responsible for verifying active insurance coverage, obtaining all necessary facility and specimen collection… more
- PruittHealth (Norcross, GA)
- …invoicing for all home infusion services. * Oversee the preparation and submission of insurance claims , verify patient benefits and payer contracts, and manage ... care. This role ensures accurate and timely claim submissions, insurance verification, and payment reconciliation. The supervisor oversees a...follow -up on denied or unpaid claims . *… more
- Elevance Health (Carroll, IA)
- …+ Coordinates prompt claims resolution through direct contact with providers, claims , pricing and medical management department. + Identifies and reports on ... + Coordinates communication process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. + Conducts seminars to… more