The incumbent in the position processes preauthorizations/precertifications forms for the Department of Surgery. This person will assist in maintaining a departmental managed care manual as well as updating faculty and staff in the department regarding changes in the managed care process. This person will interact with physicians, nurses, and secretarial staff in the Depa

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. This position is eligible to work from home anywhere in the United States Essential Functions Collaborates wi

The primary purpose of this position is to independently process all self pay accounts as they move through the revenue cycle. Takes the necessary action utilizing the Epic work queues to track the status of unpaid and delinquent balances and contacts the patient/guarantor by phone or letter; review such websites as OSF, Carle Health, Medicaid or other pertinent websites

IMMEDIATE OPENING Medical Billing Revenue Cycle Appeal Specialist The Appeal Specialist supports the functions of the Revenue Cycle Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor. Responsibilities include, but are not limited to Classification of appeals, research of accounts, preparing docume

Review assigned accounts by contacting Medicare to ensure timely resolution of accounts. Create updates and document information relating to the financial status of accounts in the hospital billing systems. Contact patients and/or other third party representatives to secure additional information pertaining to reimbursement of accounts. Process rejected/adjusted claims th

Title Claims Customer Service Advocate II Location Columbia, SC, 29229 Duration 3 months assignment Shift 7 45am 4 15pm Monday Friday Duties Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and

Regional General Adjuster Requisition ID 2024 25058 Job Locations US CO Denver Position Type Regular Full Time Category Claims Business Unit GUS_GTS US Excellence In Everything We Touch Position Summary Resolves complex commercial property losses generally in excess of $100,000 by investigating damages, negotiating adjustment of losses with corporate management, brokerage

Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of insurance statutes and regulations and complying with state and federal regulatory requirements

Provide legal and strategic advice on all aspects of real estate matters to the UnitedHealth Group Real Estate Services team Draft, review, and negotiate various commercial real estate agreements including leases and related documents (e.g., letters of intent, subleases, intercompany leases, estoppels, landlord consents, amendments, assignments, etc.), constructions agree

The following are exemplary essential job duties and responsibilities and are not intended to represent an all inclusive listing of related essential functions of the position Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertise and support by reviewing, researching, investigating, and

The SHOW comes alive at MGM Resorts International. Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Resorts, we seek individuals like YOU to create unique and show stopping experiences for our guests

Attend virtual and or safely operate a vehicle in order to attend corporate/court onsite meetings Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary In this role, you will be responsib

Creating and maintaining provider demographic, billing, and network contract information within a database Audit provider loads for adherence to quality measurers and reporting standards Recommend methods to improve processes used by department You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on

Under the general guidance of the Fast Track Supervisor, this remote position is responsible for assigned loss reports and performs tasks associated with settling high frequency, low complexity automobile insurance claims with a focus on customer service, prompt investigation and rapid disposition. You will specialize in settling routine 1st and 3rd party material damage a