- LTCG (MN)
- …reviewing and determining all claim requirements needed for initial and continuation claims . This position assists Care Managers and Care Coordinators, while also ... determine all claim requirements needed for initial and continuation claims . 2. Reviews documented claim forms and contacts the...3. Keeps clear and concise documentation of all claim intake activity within the required databases. 4. Meets quality… more
- Fairview Health Services (Minneapolis, MN)
- …over the phone + Understand billing primary, secondary and tertiary insurance claims , including copay assistance + Understand all third party and Medicare/Medicaid ... and billing guidelines as they pertain to home infusion claims + Understand Copay Assistance eligibility requirements. + Bill...as needed + Manage Self-Pay accounts by working with intake to verify eligibility and check benefits. + Review… more
- Fairview Health Services (Minneapolis, MN)
- …customer service, preparing, labeling and delivering medication and supplies and ensuring claims are submitted correctly and paid by third party payers. Build and ... for the work assignments and collaborate with internal departments, RN's, HIM, Intake , Production to ensure all needed assignments are being handled by appropriate… more
- Cardinal Health (St. Paul, MN)
- …knowledge of Medicare (A, B, C, D) + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years of experience with Prior ... working on multiple cases simultaneously. + Responsible for the identification, intake , documentation, and submission of all Adverse Event Reports occurring in… more
- Humana (St. Paul, MN)
- …service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations Coordinator 3 ... relations, credentialing, and contract management systems. Executes processes for intake and manages provider perceived service failures. Regularly exercises… more
- Prime Therapeutics (St. Paul, MN)
- …Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities ... also include the administration of intake documentation into the appropriate systems. Overall expectations is...operational goals. + Educates providers on how to submit claims and when/where to submit a treatment plan. +… more
- Carrington (St. Paul, MN)
- …system, including but not limited to, analyzing complaints, investigating claims , retaining outside counsel where appropriate and providing outside counsel ... documents and creating a chronology of facts, preparing and submitting written claims , securing response from insurer and preparing memos regarding submission of and… more
- Chart Industries (New Prague, MN)
- …with accuracy and timeliness. + Manage warranty process from initial claim intake to resolution to include maintaining compliance with company policies and ... cases. + Communicate with customers for information and provide status of warranty claims . + Coordinate with tech support and service teams to ensure resolution of… more
- TEKsystems (Minneapolis, MN)
- …legal invoice assignments from the Operations Support Specialist and/or work the intake queue for self-assignments. * Verify the compliance to legal billing ... and adjustment decisions. * Strong understanding of legal terminology and claims legal situations, multijurisdictional exposure preferred. * Self-motivated with an… more
- LTCG (MN)
- …our proprietary long term care databases. This position is responsible for the intake , set-up, assigning, follow-up and processing of all on-site assessments for the ... Health Care Agencies, Health Care Facilities, Care Coordinator Supervisors and Claims Assistant Directors to assure customer expectations are met or exceeded.… more
- Gentiva (Minneapolis, MN)
- …care department by performing the following duties personally, including intake function, billing function, medical record maintenance function, and marketing ... denials, requests for additional information, and post-payments audits of submitted claims . + Establish and maintain professional and productive relationships with… more