documented. Research rejected, transition, and paid status claims for validity and escalate as appropriate. Use the various... systems of the department/company to complete research and gain sufficient knowledge of the claims system and how it relates...
) with various professional and facility/hospital providers in the research and resolution of all claims issues. May assist... to complete research. Monitors inventory reports to ensure claims are resolved accordingly. Provides documentation as requested...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a call center data analyst, your job duties include tracking and examining call flow, calling patterns..., cyclical, and ad hoc reporting. Perform research and analyze reports, creating statistical models for presentation/review...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment... certification process, claims processing operations/systems, and pricing methodology and discount programs. In-depth knowledge...
or standards. Performs thorough research of the substance of service appeals by both member and provider based on clinical... Act (HIPAA) standards/regulations. Excellent organizational and time management skills. Knowledge of claims systems...
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment.... Preferred Skills and Abilities: In-depth knowledge of provider certification process, claims processing operations/systems...
Duties Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment...: Microsoft Office. Preferred Skills and Abilities: In-depth knowledge of provider certification process, claims processing...
and in accordance with applicable regulations or standards. •30% Performs thorough research of the substance of service appeals.... Knowledge of claims systems. Presentation skills. Preferred Software and Other Tools: Excel or other spreadsheet software...
, we also have developers, business analyst and product owners. The current team size is about 15+. Everyone is the team is always willing... internal support via analysis and research into EDI-related issues as required by business contracts. 60% Provides quality...
us to implement. For operation we have a team size of about 3-7. In addition, we also have developers, business analyst and product... community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts...