- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Covenant Health Inc. (Knoxville, TN)
- …Summary: This position participates in various functions including the review , correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or ... improperly paid insurance claims . This position is responsible for billing and follow-up...a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer… more
- MyFlorida (West Palm Beach, FL)
- …/ resume. + Three (3) years' employment experience as a Veterans Claims Examiner or comparable title / experience counseling and handling veterans' affairs. ... vet center as needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans Affairs. This task will… more
- St. Luke's University Health Network (Allentown, PA)
- …RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- The County of Los Angeles (Los Angeles, CA)
- …inbox, which saves a copy of MOST notices. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test ... you preparing for the test, we advise you to review all related materials that you deem necessary. +...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Percepta (Melbourne, FL)
- …of family and teamwork. Like the TSR role, the LTSR will support incoming dealer claims as well as escalated claims while assisting with floor coaching and ... a Typical Day, You'll** **Team Support:** * Deputizes for Supervisor when Supervisor is away, and delegates...real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number… more
- Genesis Healthcare (MA)
- …and performs day-to-day billing and collection activities associated with resolution on claims for payment from assigned payers. The supervisor directs his/her ... to achieve management goals on a timely basis. The supervisor will monitor workflow and production standards in order...accordance with policy and procedures for follow up and review 12. Preparing resubmission of claims for… more
- NJM Insurance (Trenton, NJ)
- …to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor , the WC Quality Assurance/Compliance Analyst is responsible for ensuring ... as audit program development and file selection, assuring the review process is proper and timely. + Conduct WC...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Breakthru Beverage Group (Minneapolis, MN)
- …and executing on all Safety related programs and policies. Manages the Workers Compensation claims and works to reduce the financial impact of claims in the ... company insurance carrier to reduce the financial impact of claims in the state. Ensure that all aspects of...are in place for DOT compliance. Conducts a monthly review to assess DOT audit risk, puts plans in… more
- Hartford HealthCare (Farmington, CT)
- …*_Position Summary:_* Responsible for assisting the Accounts Receivable (AR) Follow Up/Denials Supervisor , in the day-to-day operations of the AR Follow Up & Denials ... timely and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and homecare.… more