- Covenant Health Inc. (Knoxville, TN)
- …with front end and back end appeals hand-offs, maintaining payer correspondence and claims processing . + Notifies Appeals Supervisor or Revenue Integrity ... Manager when trends are identified while processing claim denial correspondence and follow-up of appeals. + Documents all activities in denials management and… more
- Johns Hopkins University (Middle River, MD)
- …of medical billing applications. + Utilize online resources to facilitate efficient claims processing . _Professional & Personal Development_ + Participate in ... Specialist_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system** **Handles Paper claims processing including proper documentation of accounts with higher level of ... all claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem.** **Identifies and researches… more
- Beth Israel Lahey Health (Burlington, MA)
- …are thoroughly reviewed for any opportunity to correct, refile and or appeal claims for re- processing and reimbursement. The role also includes review and ... geared toward process improvements within the Central Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials, appeals and… 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
- ICW Group (Woodland Hills, CA)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- Trinity Health (Davenport, IA)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Raphael and Associates (Rutherford, NJ)
- …the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning ... and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on...+ Assign the claim to the appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications… more