- Cardinal Health (Hartford, CT)
- …documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred + Knowledge of Medicare, Medicaid and Commercially insured ... payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to… more
- Cardinal Health (Hartford, CT)
- …Events and follow process for timely submission. Review all requests for appeals and ensure supporting documentation is present. Support team with call overflow ... when needed. Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome. Effectively be able to multitask daily tasks and workload. + **TRAINING AND WORK SCHEDULES** : Your new hire training will take place… more
- Eastern Connecticut Health Network (Vernon, CT)
- …performs concurrent audits for compliance with state regulations and assists in progressive appeals in Medicare Claims appeals as well as documentation requests ... management of payer and industry audits of claims and appeals process: + Assists in the review of all...knowledge of Best Practices and works with Clinical Systems Coordinator to identify Best Practice implementation. + Serves on… more