- The Cigna Group (Bloomfield, CT)
- …procedures, and policies. + Work with all matrix partners to ensure accurate and timely processing of Medicare Appeals . + Support the implementation of new ... Required. Prefer background as a medical assistant or prior Medicare Claims experience + 2+ years' experience in ...requests for service. + Good knowledge and understanding of Appeals Processing and business/operating processes and procedures.… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... of member communication related to appeal and grievances. **What You'll Be Doing:** - Processing of Grievances & Appeals . - Responsible for the progress of… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
- Robert Half Accountemps (Dallas, TX)
- …changes in the working area to ensure smooth functioning of job duties. * Processing all invoices for Dallas County Congregate Senior Centers, Special Venues, ... by managing customer accounts and resolving customer inquiries. Responsibilities: * Timely processing of all billing for Meals on Wheels programs and ensuring any… more
- Healthfirst (OK)
- …is Remote + Conduct quality audits of A&G items including grievances, pre-service appeals , and post service appeals utilizing appropriate sources of information; ... improve processes and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are identified, classified, and… more
- Tufts Medicine (Tyngsboro, MA)
- …related to revenue cycle operations such as billing, collections, and payment processing . In addition, this role focuses on performing the following Billing related ... edits, claim edits, payer follow-up, correspondence review, corrected claims, appeals , reimbursement verification, and remittance for assigned scope of receivables.… more