and Pre-Existing for timely and accurate claims adjudication as well as sending out required COBRA notifications. Requests...
reporting Access and integrate data from multiple benefits systems (contributions, eligibility, claims). Develop and update... in compliance, friendly datasets such as contributions, eligibility and / or claims. Benefits administration systems exposure...
, reporting, and issue resolution related to store development initiatives. Assist in processing and tracking invoices, claims... claims for deficiencies and replacement of damaged items. Any additional projects or tasks defined by the line manager...
monitoring, communication strategies, website publications, medication therapy management operations, claims adjudication, PDE...
and pending. Accurately enter COB, COBRA and Pre-Existing for timely and accurate claims adjudication as well as sending out...
and pending. Accurately enter COB, COBRA and Pre-Existing for timely and accurate claims adjudication as well as sending out...
and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation...
and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation...
responses for Moda Health, Delta Dental and BenefitHelp Solutions; this includes managing specialist workload, training... insurance business as it relates to processing of claims, handling of billings, customer service, and related information...
of account transactions. Review Radiology and Retail Clinic Claims and third-party claims (i.e. MVA settlements, workers... compensation claims). Performing and documenting quality assurance reviews on transactions in department. Prioritize assigned...
responses for Moda Health, Delta Dental and BenefitHelp Solutions; this includes managing specialist workload, training... insurance business as it relates to processing of claims, handling of billings, customer service, and related information...
of account transactions. Review Radiology and Retail Clinic Claims and third-party claims (i.e. MVA settlements, workers... compensation claims). Performing and documenting quality assurance reviews on transactions in department. Prioritize assigned...
and Insurance level I and level II positions and/or Referral Resource Specialist level I and II positions and/or equivalent... queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations...
all essential functions of Billing and Insurance level I and level II positions and/or Referral Resource Specialist level I and II... queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations...
& Neurosurgery claims including third party claims (i.e. MVA settlements, workers compensation claims. Performing and documenting.... Certified Revenue Cycle Specialist (CRCS) is required within 18 months of Hire. Preferred Qualifications: High school diploma...
& Neurosurgery claims including third party claims (i.e. MVA settlements, workers compensation claims. Performing and documenting.... Certified Revenue Cycle Specialist (CRCS) is required within 18 months of Hire. Preferred Qualifications High school...
- Hermiston Job Summary: The Site Safety Manager (SSM) serves as the on-site specialist in safety by implementing.... Duties and responsibilities Educating / training labor about safety measures Manage accident / safety claims as they occur...
, Biller 2, Biller Lead, Billing Editor, and Account Follow-Up Specialist 2. This position requires a broad and adaptable... knowledge base in medical billing, coding, reimbursement practices, claims processing, and payer-specific requirements. The PBS...
by reconciling approved authorizations and pending charges. Ensure claims will be billed correctly to insurance. Data Support...: Responsible for the daily claims submissions/printing for all eligible/ready status claims Resolves all claim rejections promptly...