- Elevance Health (Norfolk, VA)
- …for providing non-clinical review and analysis of non-complex Tier 1 post service medical claims . **How you will make an impact:** + Utilizes guidelines ... ** MEDICAL REVIEW ANALYST I** **Location:** This role requires...and a minimum of 4 years of internal company claims processing or customer service experience; or… more
- The Cigna Group (Bloomfield, CT)
- … medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, ... ** Medical Principal Job Description** **Position scope:** Primarily regional...management, case management, network, contracting, pharmacy, and service operations ( claims ). This is an entry to mid-level position for… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... May transfer secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and… more
- Aston Carter (Salem, OR)
- …data manipulation and use of data analysis tools. + In-depth understanding of claims processing , clinical edits, fee schedules, and payer contracts. + Proficient ... Prior experience in initiating and leading performance improvement projects within a medical coding environment. + Understanding of EHR, Claims Adjudication… more
- Robert Half Office Team (Mountlake Terrace, WA)
- …cross-functional collaboration to enhance policy implementation and claims processing . Responsibilities: * Analyze and interpret medical policies to ... detailed assessments to enhance consistency in claims processing . * Support the development of medical ...a skilled coder with relevant experience in the health insurance industry. * Familiarity with FACETs claims … 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 ... insurers or managed care providers. + Proficient in verifying insurance benefits, processing authorizations, and addressing any...+ Assists patients or family members with completion of medical insurance forms. + Informs patients of… more
- ConvaTec (Massapequa, NY)
- …completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits ... **About Convatec** **Pioneering trusted medical solutions to improve the lives we touch:**... claims . + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in … more
- MyFlorida (Bunnell, FL)
- …judgment. Duties involve processing Medicaid HMO's, Medicare and third party/commercial insurance claims . Responsible for reviewing insurance web portals ... all insurance information; makes the necessary determination as to the correct insurance , and processes all claims accordingly. Researches claims for… more
- Travelers Insurance Company (West Bridgewater, MA)
- …and issues claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided ... bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to… more
- Ansible Government Solutions (Richmond, VA)
- …general reception support in the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information, and ... Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Medical Support Assistants (MSA) to support the Richmond VA Medical Center located… more