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Blue Cross Blue Shield of Kansas
-
Topeka, Kansas
...
senior leadership on the health of payment integrity project
portfolio and continuous alignment with ... provider payout,
recommend future payment structures, and develop new payment networks as
needed.\
\
This
...
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Corewell Health
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Grand Rapids, Michigan
...
Program with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is ... medical claims payment and drive payment integrity performance. This position is responsible for
...
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UnitedHealth Group
-
New York, New York
...
Manager is responsible for overseeing and managing the claims billing process at AbleTo. This role ... processes, and set up new insurance carriers. The Claims Manager plays a crucial role in maintaining revenue
...
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Abbott
-
Ho Chi Minh City,
Vietnam
...
.
Core job responsibilities:
*Payment process:
• Check documents (3-way matching, adequate ... /company policies and valid invoices per current local tax regulations.
• Discuss payment issue with
...
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DOCTORS HEALTHCARE PLANS, INC.
-
Coral Gables, Florida
...
of claims, utilization review, quality assurance procedures, payment methodologies and Part D ... medical records during the course of fraud investigations, special investigations, claims reviews and / or
...
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University of Rochester
-
Rochester, New York
...
credits.
Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers.
Work with supervisor/manager on communication to payer representatives regarding payment
...
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Walmart
-
Bentonville, Arkansas
...
responsibilities; documenting case details; determining whether payment is warranted; and managing multiple claims ... claims; authorizing payment for approval or facilitating denial of the claim; and reserving file for
...
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U-Haul
-
Ivyland, Pennsylvania
...
Under the general direction of the Claims Manager, Repwest Insurance Company (RWIC), responsible for the investigation, evaluation and settlement (either by denial, compromise or payment) of claims arising from
...
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BrightSpring Health Services
-
LOS ANGELES, California
...
resources to secure timely payment of open claims or invoices, giving priority to electronic solutions ... providers in the country. The Collection Specialist will report to the Collection Manager and work in our
...
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ResCare
-
Englewood, Colorado
...
efficient resources to secure timely payment of open claims
or invoices, giving priority to electronic ... to the Collection Manager and work in
our Centennial, CO office.
Amerita is an entrepreneurial
...
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BrightSpring Health Services
-
ENGLEWOOD, Colorado
...
.
Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority ... providers in the country. The Collection Specialist will report to the Collection Manager and work in our
...
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Blue Cross Blue Shield of Wyoming
-
Cheyenne, Wyoming
...
JOB SUMMARY
The Manager of Payment Integrity is responsible for ensuring healthcare payments ... abuse, guiding the tactical work of individual team members in support of payment integrity processes
...
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ResCare
-
Englewood, Colorado
...
electronic 837.
Utilize the mose efficient resources to secure timely payment of open claims
or invoices ... Collection Manager and work in
our Centennial, CO office.
Amerita is an entrepreneurial-founded company and
...
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UNC Health Care
-
Rocky Mount, North Carolina
...
appeals for hospital patient accounts/claims denied payment through retrospective or prospective review, i ... assist in facilitating: 1) clinically related reviews of patient accounts/claims to ensure compliant
...
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ResCare
-
Englewood, Colorado
...
electronic 837.
Utilize the mose efficient resources to secure timely payment of open claims
or invoices ... Collection Manager and work in
our Centennial, CO office.
Amerita is an entrepreneurial-founded company and
...
-
ResCare
-
Englewood, Colorado
...
efficient resources to secure timely payment of open claims
or invoices, giving priority to electronic ... Collection Manager and work in
our Centennial, CO office.
Amerita is an entrepreneurial-founded company and
...
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ResCare
-
Englewood, Colorado
...
efficient resources to secure timely payment of open claims
or invoices, giving priority to electronic ... to the Collection Manager and work in
our Centennial, CO office.
Amerita is an entrepreneurial
...
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Walmart
-
Bentonville, Arkansas
...
; monitoring reserves for all open claims; authorizing payment for approval or facilitating denial of the claim ... in the claim/image management system.
Handles monetary aspects of assigned claims by
...
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Blue Cross and Blue Shield of Louisiana
-
United States
...
: MANAGER, CLAIMS OPERATIONS
Necessary Contacts: In order to effectively fulfill this position, the ... including, but not limited to Compliance, Payment Integrity, Health Care Policy, Care Management, Actuarial
...
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COTIVITI, INC.
-
SOUTH JORDAN, Utah
...
Client Policy Manager I
Job Locations
US-Remote
ID
2024-12827
Category
Client Services
Position Type
Full-Time
Overview
The Client Policy Manager provides expert consultation on coding and
...
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GUNDERSEN LUTHERAN-HARMONY
-
Wabasha, Minnesota
...
resulting in reimbursement and final disposition of claims. Verifies accuracy of payment for correct ... for reimbursement and final disposition of claims. You will investigate, initiate and resolve claim
...
-
COTIVITI, INC.
-
SOUTH JORDAN, Utah
...
Client Policy Manager I
Job Locations
US-Remote
ID
2024-12637
Category
Client Services
Position Type
Full-Time
Overview
The Client Policy Manager provides expert consultation on coding and
...
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Trinity Health
-
Nampa, Idaho
...
payment options, and clears the patient for service delivery.
**SKILLS, KNOWLEDGE, EDUCATION AND ... .
Provides payment estimates for out of pocket costs.
Educates patients/families on the use of
...
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Trinity Health
-
Baker City, Oregon
...
information.
Provides payment estimates for out of pocket costs.
Educates patients/families on the ... Supervisor, Patient Access.
Processes insurance claim forms.
Reviews claims/accounts for complete
...
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ResCare
-
Aurora, Colorado
...
resolution.
Conduct billing utilizing most efficient resources to secure timely payment of
open claims or ... providers in the country. The Billing
Specialist will report to the Billing Manager and work in our
...
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Hub International
-
Langley, British Columbia
...
an individual and team-oriented capacity and report directly to the Claims Manager. The Claims ... rewarding career, please read further to see what this job entails.
The Opportunity -
The **Claims
...
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BrightSpring Health Services
-
ENGLEWOOD, Colorado
...
.
Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority ... providers in the country. The Collection Specialist will report to the Collection Manager and work in our
...
-
BrightSpring Health Services
-
ENGLEWOOD, Colorado
...
.
Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority ... providers in the country. The Collection Specialist will report to the Collection Manager and work in our
...
-
Trinity Health
-
Baker City, Oregon
...
information.
Provides payment estimates for out of pocket costs.
Educates patients/families on the ... Supervisor, Patient Access.
Processes insurance claim forms.
Reviews claims/accounts for complete
...
-
BrightSpring Health Services
-
ENGLEWOOD, Colorado
...
resources to secure timely payment of open claims or invoices, giving priority to electronic solutions ... providers in the country. The Collection Specialist will report to the Collection Manager and work in our
...
