- Hartford HealthCare (Farmington, CT)
- …advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and ... Hospital and Professional billing modules preferred . Understanding of medical and insurance terminology, facility and professional billing/reimbursement… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... warning flags to ensure clean claim submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors.… more
- University of Southern California (Newport Beach, CA)
- …Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req ... behavior. Preferred Qualifications: + Pref Experience in area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting.… more
- Pacific Seafood (Kodiak, AK)
- …Incident Management and Emergency Response: + Perform on-site workers' compensation claims management, including investigation and medical follow-up. + Maintain ... attractive total rewards package, including but not limited to: + Health insurance benefits options, including medical , prescription, vision, dental, basic group… more
- CVS Health (Cumberland, RI)
- …enrollment across locations, reporting discrepancies and recommending corrective actions. Reviews claims on trends, errors, enrollment status, insurance package ... Lead Coordinator is responsible for ensuring the timely and accurate processing of payer enrollment applications, including initial submissions and revalidations for… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned. + Keeps ... and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to… more
- NTT DATA North America (Raleigh, NC)
- …on analytics and reporting related to core payer data, including member eligibility, claims processing , and membership. Extract, analyze, and validate data to ... will depend on the nature of the role offered. Company benefits may include medical , dental, and vision insurance , flexible spending or health savings account,… more
- Alabama Oncology (Birmingham, AL)
- …or a high school graduate + 3 plus years of experience + Experience in medical billing / insurance processing and balancing accounts Company Benefits + ... for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action,...of the federal, state, and local regulatory requirements around medical billing and coding as well as CMS and… more
- Elevance Health (San Juan, PR)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... management. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries,… more
- Humana (Oklahoma City, OK)
- …best outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Assist in developing FWA education to ... (Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + Experience in a… more