5 claims escalation analyst jobs found

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION:  Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION:  Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION:  Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION: Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Specialty Billing Coordinator will support the Lahey Health Shared Services Department. The role will be based in Burlington, MA and will offer the ability to work primarily remotely once fully trained. Job Description: Under the managerial oversight of the Manager of Customer Service and Director of Executive – International Health the Specialty Billing Coordinator serves as a primary point of contact for Executive clients and International payers of Lahey Hospital & Medical Center (LHMC). The Patient Financial Services (PFS) Coordinator’s overall responsibility is to manage the Client Account Services, Revenue and Payments for both departments. This includes but is not limited to, registration, estimates, collections for self-pay services, account initiation and coordination, claims submission, fee schedule maintenance, denials and customer...