Description Position at Pilgrim's Accounting Resolution Specialist Purpose and Scope/General Summary...: We are looking for an Accounting Resolution Specialist for Pilgrim's who responds to notifications of discrepancies that may be reported by customers...
Job Description: Job Summary Review unpaid and underpaid claims to ensure that claims are paid accurately... claims to ensure that claims are completely resolved accurately and timely and efforts are thoroughly documented...
Credit Resolution & Cash Specialist - Full Time (NOT REMOTE) POSITION SUMMARY: Post reimbursements from insurance... adjustments to all postings in both HB and PB Clearing Accounts Credit Resolution Resolve credit balances by reviewing...
GENERAL SUMMARY The Denial Resolution Specialist is responsible for all activities related to resolving, monitoring.... ESSENTIAL DUTIES AND RESPONSIBILITIES Analyzes and prepares payer appeals for denied claims. Ensures accuracy of payment...
1. Perform accurate and timely follow-up, reconciliation and resolution of outstanding account balances. 2. Analyze... through eligibility verification and check claims status utilizing online access and individual insurance carrier websites...
balances resulting from managed care denials and underpayments and to develop plans for resolution. Responsibilities... successful achievement of departmental goals. Regularly report trends and progress of resolution to management.Track, Compile and report...
and/or Supervisor on resolution of inquiries. · Acknowledges each piece of mail and responds to written inquiries either by telephone... work experience preferred. · Minimum of 3 - 5 years working within Self-Funded Billing, or Accounts receivable, or Claims...
and/or Supervisor on resolution of inquiries. · Acknowledges each piece of mail and responds to written inquiries either by telephone... work experience preferred. · Minimum of 3 - 5 years working within Self-Funded Billing, or Accounts receivable, or Claims...
required Knowledge, Skills, and Abilities Excellent customer service skills, including complaint resolution and de-escalation of irate.../professional claims types Working knowledge of Health Insurance Portability and Accountability Act privacy requirements...
, directs and assists legal counsel in resolution proceedings. Assists in fraud and bond claims when requested by management...Responsible for performing resolution activities associated with delinquent and charged off member accounts and loans...
for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information... decisions for change/resolution. Assists supervisor/manager in responding to internal investigations, reviews, and audits...
1. Perform accurate and timely follow-up, reconciliation and resolution of outstanding account balances. 2. Analyze... through eligibility verification and check claims status utilizing online access and individual insurance carrier websites...
and analysis of inpatient medical claims utilizing NYCHSRO/MedReview and payer specific systems, adjudication platforms, policies... Proficient comprehension capabilities Ability to prioritize multiple tasks Experience with UB/inpatient institutional claims...
and evaluating of claims. Critical thinking. Collaboratively & independently problem solve. Multitasking and attention to detail...
skills: Microsoft Word, Excel, Outlook, Google Suites Skill in: Analyzing and evaluating of claims. Critical thinking...
to join our Account Resolution Division (ARD). We are specifically looking for a candidate that has advanced knowledge and experience... with facility claims follow-up, researching high dollar claim denials and preparing/writing appeals to get claims paid. The ARD...
Claims Specialist who will demonstrate a high level of expertise and sound judgment in complex matters, and may act... is preparing the Senior Technical Claims Specialist for a managerial role, and allowing the ideal candidate to assist...
’ compensation claims for a dedicated client account from inception to resolution. This role requires 10+ years of WC claim handling... needed to perform their job and claims staff are assigned manageable caseloads. We are seeking a Multi-Line Claim Specialist...
Job Description: SUMMARY: Claims Payment Specialist I Primarily responsible for all the following duties..., and other Claims Department staff. Claims Payment Specialist II Primarily responsible for all the following duties Enterprise wide...
Job Title: Claims Audit Specialist Duties: Review and audit patient accounts to ensure accuracy in claims... patient account systems with payment and adjustment data. Conduct pre-authorizations and follow up on pending claims. Track...