- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- Intermountain Health (Raleigh, NC)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works ... physician claims ("professional billing"). + Maintains A/R at acceptable aging...through charge corrections, payment corrections, write-offs, other methods. + Research medical records to gather information and substantiate medical… more
- UNC Health Care (Durham, NC)
- …to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification ... May serve as a lead worker to provide problem resolution and assistance to lower level positions. 6. Obtain...Post payments and denials to patient accounts, reconcile accounts, research and resolve a variety of problems relating to… more
- UNC Health Care (Chapel Hill, NC)
- …to drive improvements in preventing denials or resolving aging accounts. 9. Research & Transplant: performs charge reviews, follow-up and payment allocations for HB ... & PB Transplant Services. Reviews and corrects billing issues with Research Accounts to ensure proper billing. 10. Other: Responsible for processing Part B split … more