Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (i.e., CPT, ICD 10 and HCPCS, NDC, revenue codes and medical terminology). Will obtain necessary documentation from various resources. Ability to timely and accurately communicate with internal teams and external customers (i.e., third party payors, auditors, other entity

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract

QUALIFICATIONS Education Required – High school diploma or its equivalent; Associate's Degree or higher in a related field is preferred. Strong knowledge of business office functions including accounts payable and accounts receivable. Excellent organizational skills and the ability to work independently, problem solve, and prioritize tasks. Ability to maintain s

Initiate the Commercial Lines audit process gatheringinformation from insureds and agents. Serve as the point of contact and provide support for policyholders throughout the audit process. Review and consolidate policyholder's payroll, financial records, tax reporting and other ad hoc reports to determine final Workers Compensation auditable exposures. Confirm policyholde

This position is responsible for providing system configuration for the organization's managed care payment system (QNXT) and other core vendor developed systems at an intermediate level. Ensures system configuration consistency across all core applications, including technical scoping, configuration, testing, and implementation. Participates in the vendor management disc

This position is responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company's financial sustainability efforts. Areas of analysis include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk a

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International, Director Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t