Make fair, accurate, timely and quality claims decisions on life insurance claims up to allowable signature limit. May work on cases exceeding this limit with prior approval and second signatures. Examines claim information obtained, including, but not limited to, beneficiary data, policy values, and policy status; and analyzes information received during the claim review

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 contrac

Reimbursement Specialist III Job ID 2024 27320 # Positions 1 Job Location US Telecommute Regional Remote Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance manage

Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes (inpatient admissions, bedside procedures, and/or diagnostic services). Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

of Responsibilities Perform operational security services to include visitor management at various assigned posts. Respond to security or life safety emergencies throughout the campus. Patrol, observe, and report daily including use of security vehicle and radio communication. Support events. Assist in onboardings and security orientation. Support the Security Claims Evide

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Coding Specialist II you will be the Clinical Practice Services department. You will perform coding and related duties using established billing office policies in an accurate a

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. As a Coding Specialist I in Clinical Practice Services , you will perform coding and related duties using established billing office policies in an accurate and timely manner. Coordinates prof

This position will work 32 hrs per week Prior Authorization Specialist Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so