- Elevance Health (Atlanta, GA)
- …model methodology development, financial model design, and forecasting impact of provider payment models for all lines of business. This position is responsible for ... reporting and formulating recommendations. This position will value new medical cost initiatives, applying financial modeling expertise and using independent… more
- Elevance Health (Louisville, KY)
- …work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation ... would be used to streamline processes and design solutions to prevent FWA, over- payment , etc. **How you will make an impact:** + Undertakes complex assignments… more
- Johns Hopkins University (Middle River, MD)
- …and/or relating to high-cost procedures. Will incorporate research findings on medical policy into appeals documentation. Communicates with payers to resolve issues ... and facilitate prompt payment of claims. Communicates... of claims. Communicates with providers regarding appeals and medical policy denials and provides appropriate proactive guidance for… more
- Banner Health (CO)
- …billing and collection activities in one or more assigned areas of billing, payment posting , collections, payor claims research, and other accounts receivable ... **Ideal Candidate:** + **Minimum of 1 year experience in Medical Insurance AR** **clearly** **reflected in uploaded resume** **;**...**;** + **Minimum of 1 year experience** EOB and posting error experience **;** + **Intermediate to Advanced skill… more
- Point32Health (MA)
- …specific product or benefit rules to claim for adjudication. + Ensure claim payment is updated to correctly reflect Point32Health's status as primary or secondary ... if re-adjudication of claim is required. + Research provider payment inquires related to pricing edits, contract pricing and/or... inquires related to pricing edits, contract pricing and/or medical coding. + Examine claim to correct and/or update… more
- Elevance Health (Middletown, NY)
- **Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance… more
- HonorHealth (AZ)
- …Job Summary Responsible for part of the following: billing and collecting, research, payment posting , charge entry, and a host of other duties to ... area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- PenFed Credit Union (Mclean, VA)
- …and strong communication skills to coordinate the resolution of the transaction posting errors, breaks and reconciling items across various teams in the firm. ... and reducing key-person risk. + Responsible for leading change management of payment clearing and accounting processes to ensure ongoing accuracy and timeliness of… more
- University of Colorado (Denver, CO)
- …Coordinator-36679 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department:College of Nursing** **Job Title: Bilingual ... substance use treatment.** **Sheridan Health Services is a Patient-Centered Medical Home, and as such, we uphold a model...billing and collection, data entry and processing, and cash posting . + Tracks, manages, and prepares reports for operational… more
- Commonwealth of Pennsylvania (PA)
- …duties will include assisting with open accounts payable to ensure timely payment processing and reducing Purchase Orders. Preparing payments for vendors through ... in the check register while updating the tracking system with payment information. Interested in learning more? Additional details regarding this position… more