clean claims and denial reconciliation. Provides ad-hoc multivariate reports to management. Works closely with the Revenue.... Assists with the training of new Revenue Integrity team members. Interacts independently to coordinate edit resolution...
business systems (Claims, Payroll, Medical, or Insurance applications). Reporting: Building new screens and reports to support... ongoing business needs. 3. Maintenance & Collaboration Issue Resolution: Debugging and maintaining written code...
, providingaccurate and comprehensive information about insurance benefits, claims, andprovider contracts Analyzecustomer issues...-up communications via calls or emails to ensure customer satisfactionand issue resolution Adapt tonon-standard...
. Team Collaboration: Work with team members to ensure high-quality service and resolution of issues. Record Keeping...: Maintain accurate records and reports throughout the claims process. Data Analysis: Compile and analyze data to identify trends...
. Team Collaboration: Work with team members to ensure high-quality service and resolution of issues. Record Keeping...: Maintain accurate records and reports throughout the claims process. Data Analysis: Compile and analyze data to identify trends...
involve overseeing the health of IT environments, facilitating the resolution of high-severity incidents to enhance service... of healthcare payer domain concepts (claims, eligibility, EDI) 1+ years of working in an on-call rotation and with ITSM processes...
functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems...: Required Education: High School Diploma OR equivalent Required Work Experience: One (1) year of related claims processing, customer...
of resolution for product and/or implementation issues. Participates in risk assessment and assists in root cause analysis... Southfield Center - 26901 Beaumont Blvd Department Name EHR Billing and Claims - Corporate Employment Type Full time Shift...
involve overseeing the health of IT environments, facilitating the resolution of high-severity incidents to enhance service... of healthcare payer domain concepts (claims, eligibility, EDI) 1+ years of working in an on-call rotation and with ITSM processes...
by providing support to the Bank’s Fraud/Security Manager through identification, research, tracking, reporting, and resolution... or denying claims and/or possible account closure. Assist in the review and decisioning of the various alert solutions to ensure...
received from insurance plans to determine best plan for resolution. Takes action required to obtain payment in accordance... resolution. Responsible for identifying and reporting to Management payment and denial trends for assigned payors...
, TPAs) Support claims management from intake through resolution Prepare reports and presentations on insurance... programs through detailed analysis, claims coordination, and policy administration. You'll work closely with internal...
and assist in daily resolution of revenue integrity edits that are holding patient claims from billing, by reviewing the medical...
as needed. Leads BI Help Desk effort by assuring the resolution of customer inquiries for navigation support, and user/system error... resolution experienced when using customer facing information delivery platforms. Analyzes needs of internal customers...
related to eligibility/QLE, contributions, claims, overpayments, and general account maintenance. Complete custom processes... and/or participant issues for resolution. This position requires cross-functional teamwork skills as well as system and product knowledge...
to eligibility/QLE, contributions, claims, overpayments, and general account maintenance. Complete custom processes and initiatives... and/or participant issues for resolution. This position requires cross-functional teamwork skills as well as system and product knowledge...
remittance advice. Accurately identify an invoice from an EOB to apply information for invoice resolution from an insurance... knowledge of CPT, ICD, HPCS, usage in the billing of physician professional claims, as well as strong knowledge of account...
, etc. Manage tax exemption applications, collaborate with SSM Corporate Legal and SSM leaders for proactive resolution... of all property matters. Ensures all landlord default claims are resolved within cure period and documents are properly recorded...
. Roles and Responsibilities Serve as subject matter expert (SME) for resolution of issues related to claims adjudication... claims from hospital, ancillary, and provider groups based on the provider contract language Recommend changes in procedures...
staff in the prompt, equitable resolution of claims. Provides consultative and resource support to staff regarding... Responsibilities: Collaborates with claims adjustors and defense counsel in managing claims including assessment of liability...