8 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 will be responsible for managing and investigating escalated claims and ensuring timely resolution. The successful candidate must have strong analytical and problem-solving skills, as well as excellent communication skills. SUPERVISION: Reports directly to the Collection Supervisor RESPONSIBILITIES AND DUTIES: Analyze and interpret policy language, contracts and statutes Maintain accurate records of all claims and ensuring timely resolution Understands assigned payer’s 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, deductibles & coinsurance assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other...

DESCRIPTION OF POSITION: The Claims Escalation Analyst will be responsible for managing and investigating escalated claims and ensuring timely resolution. The successful candidate must have strong analytical and problem-solving skills, as well as excellent communication skills. SUPERVISION: Reports directly to the Collection Supervisor RESPONSIBILITIES AND DUTIES: Analyze and interpret policy language, contracts and statutes Maintain accurate records of all claims and ensuring timely resolution Understands assigned payer’s 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, deductibles & coinsurance assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other...

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...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...