- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as an Overpayment Resolution Team Lead ? At Parallon, you come first. ... lives and you have the opportunity to make a difference. We are looking for a dedicated Overpayment Resolution Team Lead like you to be a part of our … more
- Trinity Health (Farmington Hills, MI)
- …post-billed denials (inclusive of clinical denials). Serves as part of the Payment Resolution team at an assigned PBS location responsible for ensuring payments ... behaviors, practices, and decisions. Performs daily activities as part of the payment resolution team that receives, analyzes, and appeals denials received for… more
- Trinity Health (Farmington Hills, MI)
- …be all post-billed denials (inclusive of clinical denials). Serves as part of a team of payment resolution colleagues at an assigned PBS location responsible for ... Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations… more
- LA Care Health Plan (Los Angeles, CA)
- …collaboratively to achieve the goals of the team , and provides feedback to the team lead on any issues identified during research or claims review. Serves as ... or assisting in vendor implementations and configuration, algorithm/edit customizations, overpayment remediation, as well as other Payment Integrity functions. The… more
- Hackensack Meridian Health (Hackensack, NJ)
- …or fraud. + Develop a business relation with the payer representative and their EDI lead person, this will expedite resolution of urgent problems and stop it ... **Overview** Our team members are the heart of what makes...practice standards as benchmark. + Oversees the processing of overpayment for Patient and Insurance. a. Ensure that the… more
- Johns Hopkins University (Baltimore, MD)
- …central HR. + Runs monthly reports (as assigned) such as temp. inactive, overpayment , and work authorization; assists with resolution of items requiring action. ... Coordinator_** to provide recruitment coordination, support and assistance to centralized HR Team . This position will be reporting to an HR Business Partner (HRBP)… more
- State of Maine, Bureau of Human Resources (Caribou, ME)
- …make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are necessary as the Eligibility Specialist interacts with ... to various programs. * Identifies potential benefit overpayments, assesses cause for overpayment and makes referrals for recovery of benefits. * Identifies potential… more
- Sevita (Springfield, MA)
- …believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children and ... the United States. As a member of our corporate team , you'll help shape the work that supports how...resolve. + Work credit balances on the aging and overpayment account and follow the credit balance procedure for… more
- BD (Becton, Dickinson and Company) (Sumter, SC)
- …+ **Guide Others:** Your expertise won't go unnoticed. Provide guidance to fellow team members, sharing your insights and helping them excel. + **Fuel Efficiency:** ... collaborates closely with departmental leaders and BD's Talent Acquisition team as well as external recruiters to fill open...complex and/or sensitive matters to the appropriate staff. + Lead the New Hire Orientation program and the completion… more
- Highmark Health (Harrisburg, PA)
- …a subject matter expert for Investigators. Will provide guidance and help train/mentor other team members. Could serve as a project lead for special projects ... + Responsible for completing all necessary field (externally) investigative work for resolution or alleged fraud/waste and abuse cases or special projects. +… more
- Fresenius Medical Center (Malvern, PA)
- …in compliance with regulatory requirements. Escalates more complex transactions and issues to Team Lead or supervisor as appropriate. + Receives the electronic ... refunds are to be completed within 30 days of overpayment . Medical billing application is updated with details regarding...that may arise. + Escalates issues to supervisor for resolution , as deemed necessary. + Assist with various projects… more