- The Cigna Group (Bloomfield, CT)
- …complexity of contracts for pricing accuracy **Qualifications:** + 1 year of Payer Solutions claim processing technical knowledge and application + Customer ... Acceptable for This Position ** **Responsibilities:** + Researches, analyzes and calculates claims in accordance with provider contracts + Works with internal matrix… more
- Fairview Health Services (St. Paul, MN)
- …billing and collection practices. + Works with multiple payer 's provider representative on issue resolution including claim resolution projects and process ... behind the scenes, or supporting those who do, your work matters. This lead position is responsible for supporting/assisting management in the billing and collection… more
- Truman Medical Centers (Kansas City, MO)
- …billing, Medicare/Medicaid reimbursement, financial assistance programs, and all the latest in payer regulations. + ** Lead by example** : Become the go-to ... for positions and apply.** Oral and Maxillofacial Surgery Prior Authorization Representative 101 Truman Medical Center **Job Location** University Health 4 (UH4)… more
- General Dynamics Information Technology (Las Cruces, NM)
- …respond to questions from customers regarding Coordination of Benefits, Medicare Secondary Payer claims , and billing questions within a fast-paced call center ... Frequent internal contacts with Customer Service Managers, Call Center Supervisors, Lead Training Specialist, Operations Representative , other Customer Service… more
- Covenant Health Inc. (Knoxville, TN)
- …between other Covenant departments in order to correct any issues with billed claims to ensure correct billing and proper claim processing. Position Summary: ... Overview Patient Account Representative , Rev Integrity and Util Full Time ,...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more
- University of Miami (North Miami, FL)
- …non-contracted HMO payers and refers to proper managing department. + Serves as a lead Insurance Verification Representative and assists in training new staff. + ... SoLe Mia has an exciting opportunity for a Sr. Insurance Verification Representative The Sr. Insurance Verification Representative (H) verifies insurance… more
- Elevance Health (San Antonio, TX)
- …support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, 4751 ... the Possibilities. Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization** is responsible for managing incoming… more
- University of Miami (North Miami, FL)
- …non-contracted HMO payers and refers to proper managing department. + Serves as a lead Insurance Verification Representative and assists in training new staff. + ... UHealth/SoLe Mia has an exciting opportunity for a full-time Sr. Insurance Verification Representative (H) with a target hire in 6/30/2025. Be part of the UHealth… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative - Insurance Claim Follow-Up Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more
- Trinity Health (Nampa, ID)
- …the results. + Identifies routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for ... routine issues and escalates to Supervisor, Patient Access. + Processes insurance claim forms. + Reviews claims /accounts for complete information, corrects and… more
- Medtronic (Minneapolis, MN)
- …Reviews and understands US reimbursement and payment systems, including Medicare payment systems, payer coverage policies, claims data sets, and sources of US ... and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected,… more
- Pfizer (Juneau, AK)
- …and coverage questions; + Provide education to HCPs/office staff regarding local/regional payer landscape, payer coverage and formulary change updates, payer ... + Minimum 3-5 years of medical billing or insurance claim management experience, preferably within the Pharmaceutical/ Biopharmaceutical sectors, Provider/Carrier… more
- Calvert Memorial Hospital (Prince Frederick, MD)
- …to communicate issues effectively with all levels of staff and departments. Able to lead meetings and serve as department representative as needed. Able to work ... cash on hand for facility. Supervisory position, that helps in staff development and payer issue resolution. Also serves as a department liaison. + Education : +… more
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... to patients are appropriate and covered by the insurance payer . They are responsible for ensuring that patient services...so may result in an incomplete application and may lead to disqualification. We will send notifications to the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative , CMG Business Office Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... All work shall be completed in a timely and accurate manner. The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level I staff by… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement. In the inpatient… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... and CPT codes and conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this job… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration… more