- Houston Methodist (Houston, TX)
- …knowledge of billing practices and maintains departmental standards relating to insurance claims processing , charge entry and billing functions. This role is ... CBO department and Account Managers to identify and prevent claims processing errors. + Assists with knowledge...in system for each account worked. + Identifies claim processing issues and general billing trends. Notifies supervisor… more
- Bozeman Health (Bozeman, MT)
- …returned claims , claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process ... WQs and other prebilling insurance WQs and escalates systemic issues identified to supervisor + Assists Customer Service with claim processing questions +… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... Submitting your DD214 promptly helps ensure smooth and timely processing . Out of Class experience will not be accepted...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Covenant Health Inc. (Knoxville, TN)
- …Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed. + ... communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal 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
- 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
- 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …with a requested monetary amount of $200,000 or more. Upon request by the claims supervisor , manager, or administrator, reviews and advises on any other RSA ... federal and state statutes, jurisprudence, ORM rules, coverage documents, and claims processing procedures. Communicates those interpretations to insured… 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