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AND DUTIES Data entry in company's proprietary database Performing analytical review of documentation received to determine the rightful ownership of property Reviewing and verifying data entered in system in accordance with the client's business processes Ability to follow detailed written instructions and make independent decisions regarding the next step of each claim R
Posted 5 days ago
We're looking for a Dispute Resolver Intern to join our Dispute Team in Bridgewater, NJ. Working for Signify means being creative and adaptive. Our culture of continuous learning and commitment to diversity and inclusion creates an environment that allows you to build your skills and career. Together, we're transforming our industry. As the world leader in lighting, we're
Posted 3 days ago
As a member of the Customer Service Center Processing Support Team, ensure efficient and timely processing of all work assignments into applicable business systems with adherence to established procedures to assist in the attainment of service level goals throughout the Customer Service Center (CSC). Responsibilities may include Assist in the research and identification p
Posted 12 days ago
Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. Job Description Do you value working with customers, communities, building code officials, and fire department officials, and e
Posted 6 days ago
Responsible for data entering all patient and specimen information into the laboratory information system. Verifies requisitions for completeness of patient and client information. Accurately enters all patient and specimen information into laboratory information system (patient name, location, site, etc.). Pulls orders when applicable for Clients that use bidirectional i
Posted 2 days ago
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe
Posted 16 days ago
Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re enrollment process. Helps resolve issues to ensure that revenue is not negatively impacted. Job Duties Maintains an expanded knowledge and thorough understanding of the IntelliApp
Posted 16 days ago
Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off
Posted 16 days ago
Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off
Posted 16 days ago
Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre
Posted 1 month ago
Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre
Posted 1 month ago
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe
Posted 21 days ago
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe
Posted 21 days ago
Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre
Posted 1 month ago
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe
Posted 21 days ago
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