Great companies need great teams to propel their operations. Join the group that solves business challenges... trends, issues, and actionable insights Conduct claim research as requested by Account Management or Clients Translate...
is responsible for ensuring correct coding initiatives are met for clean claim submission and correction of claim billed... and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835...
Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice..., acting appropriately on those when necessary. Maintains a problem log to include all denials, claim issues, registration...
Receive and effectively respond to external provider related issues Investigate, resolve and communicate provider claim.../Experience: Bachelor’s degree in related field or equivalent experience. Two years of managed care or medical group experience...
to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration... Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue...
, claim queue, department documentation platform Responsible for inbound fax duties to include translation of prescriber... for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards...
submitting corrected claim and appeals. Correct any identified billing errors and resubmit claims to insurance carrier. Follow... in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed...
: Understand pharmacy related quality reports and identify areas for intervention and improvement (e.g. medication claim reversals... What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full...
Administration processing system Processes claim submissions for rebate payment;Reviews and analyzes claim pricing results...;Administers rebate payments or Dealer credits Record, track and monitor status of claim submissions Respond to customer...
, etc., and provide service to insurance claim re-inspectors. Education and/or Experience Required High school diploma/GED... Group and all affiliated companies, we do not use artificial intelligence (AI) or automated tools to screen, assess...