- Insight Global (Bedminster, NJ)
- Job Description The Certified Corrected Claim Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, ... when compared to the Zelis Claim Edits Product. The Certified Corrected Claim Resolution Analyst...routing, and responding to complex incoming Client and Provider corrected claims and inquiries. We are a… more
- Tufts Medicine (Lowell, MA)
- …off, etc.) 6. Proactively follows-up on all escalated accounts to ensure timely resolution ; submits corrected claims and appeals on administrative denials ... and eligibility verification, claim edits, payer follow-up, correspondence review, corrected claims , appeals, reimbursement verification, and remittance research… more
- Tufts Medicine (Tyngsboro, MA)
- …verification, billing edits, claim edits, payer follow-up, correspondence review, corrected claims , appeals, reimbursement verification, and remittance for ... understanding of CPT and ICD diagnosis coding 3. HFMA CRCR ( Certified Revenue Cycle Representative) 4.Epic certifications **Duties and Responsibilities:** The duties… more
- Trinity Health (South Bend, IN)
- …correcting patient accounts within the bill hold timeframe ensuring timely claims processing. Identifies duplicate medical records numbers, notifies and coordinates ... Information Management and Utilization/Case Management of material changes to the corrected insurance and demographic information that may affect their processes.… more