Sentences with phrase «health insurance claims data»

The study analyzed health insurance claims data for a national sample of privately insured patients in 2011.

Not exact matches

Anthem Blue Cross announced that it's launching a new platform to unite multiple kinds of digital health data — including electronic medical records, insurance claims info, and even health and wellness app stats — into an overarching product called Engage.

Insurance giant Aetna has agreed to pay more than $ 18.2 million to settle two separate data breach claims arising out of the inadvertent disclosure of health information due to the layout of the envelopes it used for customer communications.

In the meantime, New York health officials can help examine Puerto Rico's insurance claims data to see if there are areas in which costs can be reduced by finding efficiencies in the system, which is crucial because more than two - thirds of the population rely on either Medicaid, Medicare or Medicare Advantage.

Having its own IT has been the crucial difference, said David Cohen, a senior executive responsible for population health, because it liberates Maimonides from having to rely on claims data from an insurance company or the state.

Using electronic health records, insurance claims and demographic data, the researchers studied patients who received a new diagnosis of depression in primary care settings in five large health care systems between 2010 and 2013.

The study, based on data gathered from health insurance claims made throughout 2009, found that international air travel, which was previously thought to be important in the pandemic, played only a minor role in its spread within the US.

Results of the College of Medicine study, which analyzed national insurance claim data from privately insured women ages 13 to 45 through 2014, were published today in the journal Women's Health Issues.

Research for this study was collected from longitudinal health insurance data for 60,000 people with diabetes in Japan between 2008 - 2013 who submitted their insurance claims and had regular health check - up visits.

(iii) Billing, claims management, collection activities, obtaining payment under a contract for reinsurance (including stop - loss insurance and excess of loss insurance), and related health care data processing;

Insurance regulator IRDA is working on a centralised mechanism to capture health insurance data with a view to improving the service and preventing misuse of medi - claim benefits by hInsurance regulator IRDA is working on a centralised mechanism to capture health insurance data with a view to improving the service and preventing misuse of medi - claim benefits by hinsurance data with a view to improving the service and preventing misuse of medi - claim benefits by hospitals.

The so - called «impossible day» data are drawn from the mandatory clearing system known as Health Claims for Auto Insurance or HCAI.

According to a Sun Life Financial analysis of its insurance claims data, the average out - of - pocket health costs for a critical illness is $ 7,575 (heart attacks average $ 14,234).

The Treatment Cost Calculator uses actual health insurance claims history data to provide accurate, real - time estimates for more than 300 procedures.

By stitching together years of data from health insurance claims (the records doctors send to insurance companies to get paid for what they do), we've built the most comprehensive database of healthcare experiences.

Medical Billing Managers have a crucial role in health care institutions, as they use data produced by medical coders to submit claims to insurance companies.

✔ Adept at communicating with patients and building long - term relationship with them ✔ Track record of carrying out effective patient follows - up calls ✔ Demonstrated ability to forward accurate medical bills at the time of discharge ✔ Skilled in data entry tasks ✔ Adept at handling front desk and answering telephonic queries ✔ Substantial knowledge of various health insurance coverage and claim protocols

• Organized and processed paperwork, reports and all kinds of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended to clients, claimants, field appraisers and management queries, regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed billing and payment processes • Processed routine claims transactions related to reserves and issued required checks or receipts • Resolved all kinds of issues / problems regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations regarding all claims activities to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants, and the clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared, updated and organized customer and client's files • Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR to providers, field appraisers, agents, insurance agencies, clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up medical appointments for health claims • Kept department's office supplies stocked • Maintained confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record of closed files

Executive Consultant in establishing a start - up health plan for all technical, business and operational and data management and information systems security areas including member enrollment and eligibility, developing coverage, benefits and plan products including procedure and diagnosis codes, claims processing with rules definition, billing and premium, provider - physician and hospital contracting, credentialing, provider reimbursement methodologies, finance, revenue and payments, clinical care, medical management and authorizations and coverage guideline policies, broker / agent operations, EDI, IT Integration, IVR scripting, Microsoft SharePoint and C - Suite data management and reporting, and all Kentucky Dept of Insurance product and benefit filings including SERFF and HIOS.

You will learn about electronic health records, medical insurance claims, patient data entry, billing and standard financial accounting reports.

KEY DUTIES OF RECRUITMENT CONSULTANT * Managing drivers and being point of contact for resolving issues * Conduct interviews / pre screen and full reference of all drivers * Ensure that all clients and workers comply with health and safety legislation and promptly refer any concerns to the branch manager * Maintaining quality and ISO procedures in line with Standard Operating Procedures to ensure effective, positive quality audit results * Liaising daily with the clients and managing expectations including job requirements, hours of work and rates of pay * Self generate new clients via cold calling and expanding on existing client opportunities * Meet with new and existing clients to account manage and advise of the services available to them * Generate new drivers by way of advertising, social media and networking * Covering out of office calls and demands on a rota requirement * Planning a weekly rota / submitting accurate payroll data / reporting KPI data * Maintaining and increasing daily route allocations — ensuring the customer promise is delivered * Training of drivers in all aspects of the job * Managing claims for damages, insurance and fines * On time reporting of key information to Extra Personnel SKILLS REQUIRED: Recruitment Consultant * Strong Sales and Customer service experience within a fast paced changing environment * Able to communicate at all levels from driver to director * Excellent organisational skills and the ability to prioritise workloads which continually change * Computer literate — outlook, excel and word * Ability to report critical information accurately and to tight deadlines * Ability to use a common sense approach to problem solving * Full UK driving license required BENEFITS As part of our commitment our Recruitment consultant will also receive: * Excellent salary and bonus opportunities * Healthcare Scheme * Pension * Min 23 days holiday plus Bank Holidays rising to a maximum of 29 plus Bank Holidays * Plus an additional days holiday for your Birthday * Continued advancement training

Tags for this Online Resume: Data Entry, Health Insurance, Health Insurance Portability And Accountability Act, Insurance, Insurance Claims, Inventory, Microsoft, Microsoft PowerPoint, Microsoft Word

Families in the study will be followed over time using surveys and state administrative data, such as vital records, child welfare activity, and Medicaid / Children's Health Insurance program (CHIP) claims.