- UCHealth (Denver, CO)
- Description Location: UCHealth UCHlth Admin Lowry, US:CO:Denver Department: UCHlth Denials Mgt Payer Audit FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) ... experience Summary: Enter and track the status of external audit activity from initial audit request through...to interpret, understand, and apply complex Medicare guidelines regarding claims denials and appeals as well as third-party vendor… more
- The County of Los Angeles (Los Angeles, CA)
- …accounting work under the general supervision of a higher level accounting supervisor or manager. Employees in this class work independently in general accounting ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. +… more
- Guthrie (Sayre, PA)
- …Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a ... reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit balances as… more
- OhioHealth (Columbus, OH)
- …quality, productivity, coder training/education, physician onboarding/education and failed claims for the OhioHealth Network and OhioHealth Physician Enterprise. ... responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as it relates to coding. This...for OPG practices. 15% 4. Monitors coder & physician audit results to maintain quality of information at all… more
- Covenant Health Inc. (Knoxville, TN)
- …department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees use phones, internal ... defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the… more
- The County of Los Angeles (Los Angeles, CA)
- …and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's goals are met. Translates client benefit needs ... Expected to partner with necessary entities in order to effectively input, audit and adjust within the adjudication platform. **Job Summary:** Perform day-to-day… more
- Aveanna Healthcare (Atlanta, GA)
- …any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions ... level. Achieves cash goal on a quarterly basis. Keeps supervisor , and branch location personnel informed of any significant...correct and update EMR. Works with Biller to ensure claims are refiled and/or billed to the second insurance… more
- Koniag Government Services (Elizabeth City, NC)
- …travel numbers (TONO's) for division funded travel and training + Review travel claims upon receipt and notify employees of any required changes or corrections + ... Maintain paper copies of liquidated claims + Develop Hiring Panel Packages + Maintain command...Un-validated/ Un- certified Timecards report biweekly + Review Leave Audit Report + Print weekly approved Leave Report +… more
- PruittHealth (Louisville, GA)
- …federal laws and regulations and charged with reporting violations to the appropriate supervisor . 17. Inputs all bills in house every Friday on Accounts Payable ... template. 18. Processes applications and pre-employment documents 19. Keeps supervisor informed of daily activities, and issues. Proposes solutions to issues. 20.… more