Building new referrals from network providers Reviewing to ensure all necessary documents and information has been provided Sending back documents for additional information Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable Accepting referrals and determining if me

Building new referrals from network providers Reviewing to ensure all necessary documents and information has been provided Sending back documents for additional information Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable Accepting referrals and determining if me

Complex Asst. Director of Finance Requisition ID 2024 52322 Category Accounting/Finance Job Location US NV Las Vegas Property Renaissance Las Vegas Hotel Compensation Type Yearly Highgate Hotels Highgate is a leading real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in major U.S. ga

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions

The SHOW comes alive at MGM Resorts International. Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Resorts, we seek individuals like YOU to create unique and show stopping experiences for our guests

This position is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services rendered in order to maintain a consistent cash flow. Nature and Scope The Insurance and Claims Representative is responsible for Accuracy and completeness of patient accounts for billing and f

Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for the maintenance and processing of patient

Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for the maintenance and processing of patient

The Claims Examiner is detail oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and co