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A minimum of 7 years of experience working with healthcare data from various sources, including electronic health records and claims data, along with expertise in study design, data preparation, analysis, and interpretation.
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Process American Standard/Trane warranty parts claims on Falcon. Must possess strong computer and internet skills and be capable of learning the companys customer system, eclipse, including order processing and inventory queries; must be proficient in Microsoft Office.
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Monitor turnaround time to ensure timely processing of claims in accordance with Client's Service Level Agreement (SLA) to ensure complianceand prevent negative financial impact. The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi-specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product.
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WHAT YOU’LL DO:Responsible for the day-to-day account management of an assigned book of business, including but not limited to processing policies/endorsements, invoicing, issuance of certificates of insurance, claims reporting and follow up as needed, premium breakdowns, auto ID cards, policy changes, review of policy forms, providing coverage comparisons, loss analysis and responding to coverage questions.
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Assists in processing paperwork associated with clinical care including: insurance claims, disability forms, and medical equipment forms. The New Patient Coordinator (NPC) position is responsible for all aspects of new patient scheduling in accordance with department scheduling guidelines.
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We provide our clients with solutions in every phase of their cash supply chain, including secured transportation, cash management, cash vault processing, forecasting, ATM, and cash recycler services.
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You must have working knowledge of computers for word processing, scheduling, insurance claims processing and records management. Primary responsibilities will include answering phones, greeting patients, maintaining appearance and order of the dental office, patient scheduling, patient and records management, insurance and billing procedures, data entry, researching and preparing insurance estimates.
$18 - $22 an hourFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Oversee claims processing, provider relations and member inquires related to dental benefits. Oversee claims processing, provider relations and member inquires related to dental benefits.
Full-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Business Systems Analyst, who will be accountable for understanding the business requirements, system processing implications and data needs for claims administration systems in our organization.
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Oversee the processing of building insurance claims to minimize financial impact. Preferred experience with Yardi, MRI, YieldStar, and LevelOne. Conduct bi-weekly meetings with all managers to ensure alignment and foster team cohesion.
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The ideal candidate will have 10 years or more of management consulting experience serving dental clients, and bring a broad understanding of dental insurance operations and a deep knowledge of the dental value chain, The candidate will demonstrate knowledge of but not limited to claims processing, network management, revenue cycle management and regulatory compliance.
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Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing/claims processing. Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
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Competency in HIPAA claims and payment transaction processing Ÿ Strong data analysis skills- SQL proficient Ÿ Excellent communication and documentation skill. The Business Analyst (BA) will work on our established Member, Managed care, and/or Claims and Provider Reimbursement functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.
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This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. Submits claims to health insurers, follows up with health insurers about submitted claims, and performs appeals for non-clinical denials, etc.
Part-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Work with Central Claims Processing to organize/direct the resources (claims assistants, pricing representatives) required for completing the inventory and LKQ assessment of all damaged/destroyed total loss contents in an efficient and effective manner, and as per productivity standards.
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claims processing jobs in Cambridge, MA
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