stakeholders to achieve appropriate solutions. Supports continuous improvement efforts by: utilizing provider, claims... configuration/interpretation and/or related to claims/disputes, billing, payment, reimbursement, other operational issues...
management, ensuring data accuracy and completeness. Develop dashboards and reports for captive support, claims trends, and key...
of evidence roadmaps that support differentiated claims and value messaging. Partner with Clinical, Medical Affairs, and Market...
of evidence roadmaps that support differentiated claims and value messaging. Partner with Clinical, Medical Affairs, and Market...
to clients Identify customer needs and recommend insurance solutions Assist with new policies, renewals, claims support...
schedule management, CPT coding, prior authorizations, claims management, financial reporting,operational reports, quality...
/client meetings when needed Drafting LORs, completing intakes, filing claims, connect clients with medical providers...
and take necessary precautions. Assess property damage and file property damage claims in accordance with company policy. Responds...
liability, and wrongful death claims. Now, he helps people who have been severely injured and need to recover...
., refund claims and documentation updates). Apply FTA benefits retroactively in cases of C/O misapplication or omission due...
related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider... or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical...
related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider... or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical...
to ensure quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denials... Patient Accounting by capturing accurate and compliant data elements to produce clean claims, preventing denials and delayed...
, vendor invoicing and claims issues. Coordinates with back office the audits, reconciliation and other processes that govern..., relationship manager, and the client to explain benefits related processes. Proactively works to identify problems...
and complies with the Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist... and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered...
HIS Coding Denials Coordinator is responsible for evaluating and resolving denied claims within the Coding department under the... direction of the HIS Coding Operations Manager. The HIS Coding Denial Coordinator works in conjunction with all other coding...
RCP012, Safety and Compliance Spec 3 (K) - District Safety Program Manager Salary $53,259.00 Job Summary.... Description of duties: Under limited supervision, the District Safety Program Manager provides the following: - Advocates safety...
, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift... leader. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy...
Responsibilities The HIS Coding Denials Coordinator is responsible for evaluating and resolving denied claims... within the Coding department under the direction of the HIS Coding Operations Manager. The HIS Coding Denial Coordinator works...
and complies with the Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist... and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered...