- Commonwealth Care Alliance (Boston, MA)
- …in Health Administration, Finance, or related field preferred. + Certified Professional Coder ( CPC ) - AAPC + Certified Claims Professional (CCP) + Other AHIMA ... 011250 CCA- Claims **_This position is available to remote employees...role is responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments,… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....the request based on business needs and requirements, provider resolution option based on financial ability and forecasting for… more
- Guthrie (Sayre, PA)
- …payers. Reports possible payer or submission issues. + Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Accounts Receivable Management department is seeking a skilled and motivated Insurance Specialist II to lead and support complex billing processes, mentor staff, and… more
- Guthrie (Towanda, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Beth Israel Lahey Health (Burlington, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... within the Central Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials, and appeals. 16. Completes projects… more
- Henry Ford Health System (Troy, MI)
- …matter resource for his/her functional area, educating team members on account resolution workflows, and assisting the supervisor with escalated issues. The CBO ... Coding Senior Specialist confirms the accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding Senior Specialist … more
- Henry Ford Health System (Jackson, MI)
- …obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits ... Network. * Serves as the point of contact for Network practices to address claims issues with Network payors by troubleshooting on behalf of the practice and working… more
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