- HCA Healthcare (Denver, CO)
- …that are required to be attached to the claims for processing. + Assists EDI Specialist as directed by the EDI Manager in reviewing edit reports ... Do you have the career opportunities as a Billing Specialist you want with your current employer? We have...to departmental schedule and is responsible for processing paper claims to primary insurance and coordinating with clerical support… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim/Remit Specialist at LogixHealth, you will work with internal teams to provide services that will ... will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation of Benefits (EOB)… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts ... complex claims for advanced processing needs. Responds to Customer Service...resource for at least one major area of expertise ( EDI , Health Plan Repricing, Health Plus Repricing, or HPR).… more
- Trinity Health (Baker City, OR)
- …and the highest quality of care. We are looking to hire a **Patient Access Specialist ** in Patient Registration in Baker City! This position will be located at 3325 ... Pocahontas Rd at Saint Alphonsus Medical Center. As a **Patient Access Specialist ** you will play a significant part in creating a great experience for patients and… more
- Graybar (St. Louis, MO)
- Make a difference. As a Pricing Specialist , you will maximize the profitability and effectiveness of the Company's Strategic Customers, **In this role you will:** + ... an accurate and timely manner + Monitor and resolve Electronic Data Interchange ( EDI ) and non- EDI supplier rebate chargebacks through the reconciliation process… more
- Elevance Health (Morristown, NJ)
- …and experiences:** + Provider recruitment + Provider Training and Orientation(Billing, Claims , Contract Compliance, etc) + EDI experience + Provider ... - Friday; 8:00am - 5:00pm The **SCA Provider Relationship Research Specialist ** is responsible for improving the providers relationship with Medicare. Provides… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Spectrum Health and Human Services (Orchard Park, NY)
- …information into the EHR within a 48 hour period and verifies accuracy, staging claims to correct payers or private fee + Confirms and enters private fee information ... updates to a clients chart and/or service orders so claims are billable + Processes Medicaid and/or 3rd Party...Party adjustment codes + Submits 837 files through various EDI 's and verifies 277 acceptance files + Follows up… more
- Trinity Health (Chelsea, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Centene Corporation (Trenton, NJ)
- …changes + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + ... account representatives documenting discussions, issues, attendees, action items, and research claims issues on-site, where possible, and route to the appropriate… more
- Robert Half Accountemps (Dallas, TX)
- …and submit client billings to funding sources using multiple media, ie, EDI transmissions, internet-based transmissions, and hard-copy claims . * Research claim ... Description We are in search of a Medical Billing Specialist to join our team in DALLAS, Texas. The chosen candidate will play a pivotal role in our healthcare… more
- State of Colorado (Broomfield County, CO)
- …our commitment to equity, diversity and inclusion by visiting our EDI Homepage: https://dpa.colorado.gov/about-us/ edi . Description of Job Organizational ... of agreements with grantees, monitoring project status, reviewing reimbursement claims , overseeing progress reports and annual reports, conducting project site… more
- CVS Health (Columbus, OH)
- …Receivable Associate will be responsible for: Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines through ... or primary contacts within payer communities to drive more effective processes The specialist must have a clear understanding of the intricacies of medical billing… more
- Magna (Detroit, MI)
- …organizational constraints. **Key Responsibilities** + Receive and process all customer EDI transmissions for production, service, and passthrough orders. + Monitor ... of risk and opportunity. + Prepare and process obsolescence claims in support of Finance and MP&L Planning Team....to ensure accuracy, working directly with the Senior Launch Specialist and MP&L Planning team to ensure a smooth… more