- CVS Health (Franklin, TN)
- … medical records review. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical records ... process. Contributes to the efficient and accurate handling of medical and final expense claims for reimbursement...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
- NTT America, Inc. (Chicago, IL)
- …Have * 5+ years of experience in health insurance claims processing * Background in benefits administration or medical billing * History of implementing ... at the intersection of healthcare expertise and technological innovation, processing claims while helping us build the...nature of the role offered. Company benefits may include medical , dental, and vision insurance , flexible spending… more
- Covenant Health Inc. (Knoxville, TN)
- …recognizing, and resolving issues related to the complex medical claims . Responsible for resolving complex patient and insurance information pre-bill ... is responsible coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely...and prioritizes daily responsibilities including evaluating complex errors on medical claims with the understanding of the… more
- Ventura County (Ventura, CA)
- …general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance ... up to $21,450 annually to offset the purchase of medical , dental, and/or vision insurance for you...more years 02 Describe your experience with billing and processing claims for timely reimbursement and compliance… more
- TEKsystems (West Des Moines, IA)
- …a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of ... Work directly with third party payers and internal/external customers toward effective claims resolution Skills epic, medical billing, follow up Top Skills… more
- CVS Health (Monroeville, PA)
- …offices as well as insurance companies as needed in order to expedite claims processing . **Required Qualifications** + 1+ years of Healthcare Insurance ... the Monroeville area has an opportunity for a full-time Insurance Collections Coordinator to handle insurance follow...writing. + Follow-up on unpaid, recouped payments, and underpaid claims + Resolve issues with nonpayment of invoices due… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law ... research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and...ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow,… more
- Rochester Regional Health (Rochester, NY)
- …RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials ... Job Title: Medical Billing & Denials Specialist Department: Patient Financial...Appeals Processing : Submits and follows up on insurance claims ; resolves denials and rejections; prepares… more
- Molina Healthcare (NE)
- …likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated ... is required. **Job Duties** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases… more
- Walgreens (Frisco, TX)
- …for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims and calling payers to update ... **Job Description:** **Job Summary** Responsible for processing referrals from intake through order scheduling for...to meet local specialty patient needs (PAP, infusion services, insurance carve-outs). + Respond to inquiries and provide guidance… more