- Covenant Health Inc. (Knoxville, TN)
- …codes, modifiers, charging units, physician's NPI, and HCPCS/CPT codes, to facilitate claims processing in a timely manner. Identifies trends and investigates ... Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible… more
- The County of Los Angeles (Los Angeles, CA)
- …the operation of a small central service unit performing supply, processing , sterilization, and distribution of patient care supplies and equipment. Essential ... demand for supplies and equipment and adjusts ordering and processing accordingly. + Makes suggestions for substitution of items...OPTION I: One year's experience as a Central Service Supervisor II in the service of Los Angeles County.… more
- The County of Los Angeles (Los Angeles, CA)
- …policies. Uses software programs associated with administrative functions (eg, word processing , excel spreadsheets). + Oversees and participates in the development ... that identifies unidentified decedents, including the removal, preparation, and processing of fingers, fluoroscopies and dental/body x-rays, and the reconstruction… more
- AdventHealth (Maitland, FL)
- …analytical and research skills HCFA1500 formats relative to regulatory standards in claims (paper and/or electronic) processing Excellent knowledge of ICD, CPT, ... + Works follow up report daily, maintaining established goal(s), and notifies Supervisor , of issues preventing achievement of such goal(s). Follows up on daily… more
- TEKsystems (St. Louis, MO)
- …staff for resolution. + Proactively collaborate with third-party payers to resolve claims processing issues, improve communication, and stay updated on changes ... will managing tasks related to rejected, denied, and outstanding insurance claims , ensuring accuracy throughout the billing process. This includes addressing issues… more
- Covenant Health Inc. (Knoxville, TN)
- …between insurance company and the patient to resolve issues holding up claims processing , such as: incorrect demographic information or coordination of ... with billed claims to ensure correct billing and proper claim processing . Position Summary: This position has the responsibility of working patient accounts as… more
- Evergreen Health (Buffalo, NY)
- …to everyone in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting ... this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely filing requirements....as needed. + Reports denial trends immediately to the supervisor . + Addresses correspondence from Insurance Carriers on a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- AdventHealth (Maitland, FL)
- …Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager ... + Works follow up report daily, maintaining established goal(s), and notifies Supervisor , of issues preventing achievement of such goal(s). Follows up on daily… 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