- Covenant Health Inc. (Knoxville, TN)
- …as it relates to front end and back end appeals hand-offs, payer correspondence, and claims processing . + Participates in the education and training of new staff ... and training for the financial services staff with regard to clinical and medical necessity insurance denials. Analyzes all correspondence regarding insurance… more
- MyFlorida (Daytona Beach, FL)
- …of all insurance information; Making necessary determinations as to correct insurance and processing all claims accordingly; Researching claims ... and other third party insurance ; and Contacting insurance carriers when necessary to re-evaluate claims ...CHC errors, rejections and denials. Ensures timely resubmission of claims . Supervises personnel who provide professional medical … more
- Rush University Medical Center (Chicago, IL)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access-Pre-Visit… more
- Elevance Health (Louisville, KY)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... complex audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries,… more
- The Cigna Group (Phoenix, AZ)
- … claims and knowledge of rejections is helpful. **What we offer:** + Day 1 medical insurance + 401(k) plan with employer match + Paid Time Off + Competitive ... + Manually route orders to the appropriate stage for processing , validation, or clarity from Doctors' offices, insurance...+ Accurately enter prescriptions into our system, run test claims , run test claims and support patients… more
- Cardinal Health (Washington, DC)
- …necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; properly ... maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely… more
- Johns Hopkins University (Bethesda, MD)
- …patient management software. + Skills in scheduling appointments, managing patient files, and processing insurance claims . (Helpful but not required. Will ... with standard levels of supplies (only when necessary). + May assist with medical records preparation. + Maintains and uses principles of aseptic technique and… more
- Robert Half Office Team (Westerville, OH)
- …skills to assist customers with account-related issues. * Knowledge of medical billing practices and insurance policies. * Excellent communication ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Humana (Lansing, MI)
- …**Preferred Qualifications** + 2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with ... of our caring community and help us put health first** The Medical /Financial Risk Evaluation Professional 2 is responsible for supporting the development,… more
- Ellis Medicine (Schenectady, NY)
- The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct ... management of the outpatient medical coding team. The Supervisor of Medical ...out patient coding experience required. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of… more