- St. Luke's University Health Network (Allentown, PA)
- …health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… 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
- MyFlorida (Tallahassee, FL)
- 845491 - EMPLOYMENT SECURITY REPRESENTATIVE II - 40034205 Date: Jan 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 845491 Agency: Commerce Working Title: 845491 - EMPLOYMENT SECURITY REPRESENTATIVE II - 40034205 Pay Plan: Career Service Position...to apply the law in making initial determinations on claims . The individual in this position must be able… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …including the State Information Data Exchange System (SIDES), initial claims , Appeals , Benefit Payment Control, Merit Rating, monetary and non-monetary ... Labor Department Associate Community Services Representative Hybrid Recruitment # 250127-5243SH-001 Location Middletown, CT...Segregates payrolls; + Presents complex appeals to Appeals Division; + Reviews and resolves claims … 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
- Robert Half Office Team (Minneapolis, MN)
- …Use company systems to manage customer needs such as appointments, authorizations, claims , invoices, eligibility, benefits, and appeals * Translate oral ... Description We are seeking a Customer Service Representative to join our team in the Healthcare/NHS...* Recognize financial, medical, and legal risks based on data collected during customer interactions and follow appropriate procedures… more
- Robert Half Office Team (Little Rock, AR)
- …company systems to meet customer needs such as scheduling appointments, authorizing claims , verifying eligibility benefits, and handling appeals . * Translate ... We are offering a long-term contract employment opportunity for a Customer Service Representative in Little Rock, Arkansas. This role is remote, allowing you to work… more
- Owens & Minor (Nashville, TN)
- … 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
- US Anesthesia Partners (Austin, TX)
- …without a reasonable accommodation) + Contact s insurance companies for status on outstanding claims . + Process and follow up on appeals to insurance companies. ... Overview The Accounts Receivable Representative II is responsible for collecting outstanding accounts...of managed care, Medicare, and Medicaid guidelines . + Data entry skills with high accuracy . + Knowledge… more
- SSM Health (Madison, WI)
- …and payment rules. Bills claims appropriately. + Follows up on denied claims by performing appeals and denial recovery procedures. Works denied claim lines ... or more of the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple functional areas. **Job… more
- Banner Health (AZ)
- …Microsoft Office programs, edge, Banner Systems (MS4, CERNER, Finthrive collections(web based), nthrive claims **Monday - Friday 8am - 5pm AZ Time** **This can be a ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- Robert Half Accountemps (Dallas, TX)
- …+ Utilizes systems to resolve customer needs such as appointments authorizations claims invoices eligibility benefits appeals TARs + Translates oral information ... every internal and external customer + Multi-task utilizing double monitors for data entry phone etiquette and use of resources while maintaining proper guidelines… more
- University of Rochester (NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- MyFlorida (Fort Lauderdale, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies. OPEN ... issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through… more
- MyFlorida (Orlando, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies OPEN ... The Work You Will Do: This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment… more
- MyFlorida (Tallahassee, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies OPEN ... The Work You Will Do: This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment… more
- University of Rochester (Rochester, NY)
- … claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals , and takes timely and routine action to ... accounts, check the claim status on the appropriate payer system or contact an insurance representative to obtain information as to why claims are not paid and… more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is responsible for ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit… more
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