- Fallon Health (Worcester, MA)
- …information, visit fallonhealth.org. **Brief Summary of Purpose:** Fallon Health's (FH) Appeals and Grievance process is an essential function to FH's compliance ... other applicable regulatory requirements and member and provider expectations. The FH Appeals and Grievances Triage Administrator serves to administer the FH … more
- Penske (Reading, PA)
- …audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability ... and efficiencies are met. -The ability to query, analyze data , and map detailed processes coupled with analytical skills...Requirements:** -The physical and mental demands described here are representative of those that must be met by an… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across ... collection. Responsibilities include but are not limited to researching, correcting, resubmitting claims , submitting appeals and taking timely and routine action… more
- Virtua Health (Mount Laurel, NJ)
- …insurances on a monthly basis and maintains records of declined claims requiring appeals .Position Qualifications Required / Experience Required:1-3 years ... codes, insurance information) and enters into database.Identifies and resolves denied claims , escalating accounts as necessary to ensure timely payment of … more
- TEKsystems (Philadelphia, PA)
- …Core Experience: + AR Follow Up Experience (2-5 years) + EPIC + Working Denials + Claims Appeals + Home Health Claims *huge plus* Pay and Benefits The ... As the AR Follow Up Representative If you're ready to explore the next...no response. Reviewing denied claims or underpaid claims and resolving the denial and filing appeals… more
- Fairview Health Services (St. Paul, MN)
- …process. + Daily work queues are at zero + Correspondence worked daily + Timely claims processing and timely appeals Demonstrate a high degree of proficiency in ... issue resolution. Mentors and trains staff in the PFS Representative 1 and 2 positions. Maintains the best practice...and PFS management in user acceptance testing. + Screens claims on-line or on paper for accuracy and obtain… more
- UNC Health Care (Chapel Hill, NC)
- …**Job Responsibilities:** + Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... payer, system or escalated account issues. + May maintain data tables for systems that support PB Claims... data tables for systems that support PB Claims operations. + Evaluate carrier and departmental information and… more
- Sacramento County (Sacramento, CA)
- Utility Billing Services Representative Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4919510) Apply Utility Billing Services ... Representative Level I/II Salary $45,518.40 - $62,744.40 Annually Location...and practices + Current office practices, procedures, and basic data processing principles, including the use of word processing,… more
- Virtua Health (Mount Laurel, NJ)
- …on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals . Position Qualifications Required / Experience Required: 1-3 ... codes, insurance information) and enters into database. Identifies and resolves denied claims , escalating accounts as necessary to ensure timely payment of claims… more
- Owens & Minor (Columbus, OH)
- … representative follows-up with insurance companies to resolve unpaid claims . **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Researches any overdue account balance ... customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. +...a strong ability to understand, interpret and develop spreadsheet data . **Other Skills** **PHYSICAL DEMANDS** This is a stationary… more
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