- Trinity Health (Davenport, IA)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow -up in... to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow up on delayed… more
- Guidehouse (Birmingham, AL)
- …and CPT codes. + 1 year experience with claim edits and follow -up related to government/non-government claims accounts. + Prior experience with Metrix, SSI, ... + 0-2 years of experience in hospital billing and/or claims follow -up **What Would Be Nice to...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- City of New York (New York, NY)
- …Office of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability ... and damages, and preparing an objective evaluation of the claim ; - Maintain a complete claims file...to request increased settlement authority; - Maintain control over claim backlog, timely follow -up on requests made… more
- Constructive Partnerships Unlimited (Queens, NY)
- …when verbally directed by the Nurse. 7. Meets regularly with the Nurse regarding medical follow -up issues and personnel issues. Attends meetings as assigned by ... appointment flow sheets for all assigned individuals indicating all medical appointments, including initial and follow -up appointments, re-scheduled… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …Nursing,11. Meets regularly with the VP of Nursing and Nurse Administrator regarding medical follow -up issues and personnel issues. Attends meetings as assigned ... medical appointment tracking on all individuals indicating all medical appointments including initial and follow -up appointments, re-scheduled appointments… more
- Insight Global (Nottingham, MD)
- Job Description Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. ... only, and this role is focused only on outpatient claims follow up, specifically to BCBS. The...and navigate multiple contracts. * Utilize BCBS portal to follow up and resolve outstanding claim issues.… more
- Ryder System (Augusta, ME)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow -up, timely resolution, and adherence to service… more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... affecting primary and excess policies in a fast-paced E&S Claim environment. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a...and adjudication of all claims . 8. Maintain claims and suspense system ensuring follow -up for… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...all customer needs (both internal and external). 10. Maintain claims and suspense system ensuring follow -up for… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Performs follow -up activities designed to bring all open account receivables ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- Ellis Medicine (Niskayuna, NY)
- …healthcare practitioners, practice management and staff; establishing relationships with medical /dental staff, follow -up with providers to ensure documentation ... and the Soarian Financial Management Systems. + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation supports… more
- Ellis Medicine (Schenectady, NY)
- …healthcare practitioners, practice management and staff; (6) Establish relationships with medical /dental staff, follow -up with providers to ensure documentation ... and the Soarian Financial Management Systems. + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation supports… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Loss Control Claims Coordinator II Job ID: null Department: Loss Control Location: null-null Description Summary: Consolidated Electrical ... Inc. (CED), a large, nationwide wholesale electrical distribution company, is seeking a Claims Coordinator to join the Loss Control Department. The Claims … more
- Cedars-Sinai (Los Angeles, CA)
- …Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow -up activities, updating information ... responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and...Claim Edit WQs and PB Payer Rejection Insurance Follow -up WQs to ensure clean claim submissions… more
- Guidehouse (San Marcos, CA)
- …to perform all areas of initial billing, secondary billing, and payer audit follow -up for government and non-government claims . Must work with other departments ... electronic and hardcopy claims + Submits Adjusted claims + Provides Follow -up Billing + Prepares... at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim ,… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. ... paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus,...we must empower them. **Required Qualifications:** + 2 years medical (or healthcare) insurance follow up experience.… more
- Allied Universal (Jacksonville, FL)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Robert Half Accountemps (Voorhees, NJ)
- …timely submissions. * Handle payor accounts, including follow -up on outstanding claims and payments. * Investigate and resolve claim denials or rejections ... Description We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you… more
- Osmose Utilities Services (Atlanta, GA)
- …+ Coordinate the intake, reporting, and follow -up of work-related injury and illness claims . + Assess the classification of each claim (first aid, medical ... Summary of position: The Claims Analyst will play a key role in...supervisors, third-party administrators (TPAs), and insurance carriers. + Monitor claim status and ensure timely and accurate claim… more
- Compass Group, North America (NC)
- …raise the bar. **Job Summary:** Assist associates in the administration Family Medical Leave (FMLA), and American Disability Act (ADA). + Maintain in-depth knowledge ... that provide greater leave protection beyond federal laws. + Review medical certification forms to make leave approval/denial decisions in accordance with… more