- 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
- The County of Los Angeles (Los Angeles, CA)
- …and approving invoices for vendor payments, preparing invoices for services rendered, processing employee expense claims for reimbursements, cash receipts and ... general supervision of an Accountant or may report to an administrative supervisor or manager. Incumbents supervise accounting technical and clerical personnel and… more
- MyFlorida (Bay Pines, FL)
- …VA Regional Office, Bay Pines, Florida Department of Veterans' Affairs, Bureau of Claims Services. The primary responsibility of the incumbent in this position is to ... termination of employment. Use standard office computer for word processing , data entry, and data retrieval from existing department...required to carry out the functions of the Bureau ( Claims ) by reviewing incoming mail, claims , debt… more
- Walmart (Raleigh, NC)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of...of college. Option 2: 1 year's experience as a supervisor in a multi-department environment. Option 3: 1 year's… more
- Walmart (Spencer, IA)
- …by ensuring proper policies and procedures are followed. Ensures the timely processing of claims (for example, damaged, defective, returned, liquidated items) ... Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures,… more
- Hartford HealthCare (Farmington, CT)
- …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare ... to insure optimal revenue cycle performance. The Supervisor is responsible for resolving unpaid third-party balances on $550 million in active inventory and provides… more
- Guthrie (Towanda, 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 ... of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions for… more
- Loretto Management Corporation (Syracuse, NY)
- …for coordinating the organization's leave of absence program and assisting with the processing of the bi-weekly payroll. This role will serve as the subject matter ... HR Business Partners on all related leave of absence claims . Meets regularly to review the status of ...of bi-weekly payroll cycles, special payments, and year-end W-2 processing . + Performs data input for new hires, terminations,… more