- MultiPlan (Atlanta, GA)
- …mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ... and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness...ICD-10, and CPT codes. 4. Lookup and review medical claims in payer system to determine… more
- MultiPlan (Atlanta, GA)
- …data, and innovation voice in healthcare . Onward and Upward The Senior Medical Coding Specialist provides analysis of the highest dollar and most complex ... - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends... claims by applying research, coding standards, industry… more
- Russell Tobin & Associates (San Antonio, TX)
- …volume Medicare/Medicaid background preferred Experience working in hospital Background in coding Healthcare call center experience Education: HS Diploma or ... What are we looking for in our Healthcare Intake Specialist (CSV) - San Antonio, TX?...and third-party payers, securing necessary documentation for shipping and claims billing. Responsibilities: Analyze and prioritize orders based on… more
- Pacer Staffing (Atlanta, GA)
- …requests, develops determination letters, and supports both non-clinical and clinical staff on coding and retrospective medical claims review processes. Key ... for coding determinations. Provides coding -related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity,… more
- Prestige Staffing (Knoxville, TN)
- …Medical Biller, you will be responsible for accurately and efficiently processing healthcare claims and invoices to ensure timely reimbursement from insurance ... - $18/hr. pending Exp. Key Responsibilities: Claim Preparation: Review patient medical records, encounter forms, and other documentation to accurately code… more
- Cambia Health Solutions, Inc (Portland, OR)
- …post payment or audit capacity to ensure appropriate clinical review, reimbursement of claims and accuracy of coding . Applies resources, including but not ... limited to, internal medical and reimbursement policies and correct coding ...RN license).Skills and Attributes (Not limited to): Knowledge of medical and surgical procedures and other healthcare … more
- Accounting Now (Tampa, FL)
- …prior authorizations for inpatient/outpatient, hospital/physician Experience in healthcare claims processing and proficiency with medical billing and ... Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims... medical records to submit appeals or corrected claims in a timely mannerThis position applies prior knowledge… more
- MultiPlan (Atlanta, GA)
- …financial integrity, and generate measurable results. This role pursues collections on errant healthcare claims made to various healthcare provider entities. ... and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness...relevant field is preferred. * Knowledge or experience with medical coding and regulations preferred.* Required licensures,… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …and attention to detail. General knowledge of accounting principles, pharmacy operations, and medical claims . Acceptable use of medical industry vernacular. ... providers, and caregivers. Services could include but not limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization… more
- Blanchard Valley Health System (Findlay, OH)
- …POSITION The purpose of the Payment Integrity Analyst is to ensure that all claims are paid at contracted rates by researching and resolving payment variances for ... Valley Health System. This position is responsible for understanding healthcare contracting terms and requirements to address underpayments, overpayments, and… more
- Blanchard Valley Health System (Findlay, OH)
- …Accounting/previous billing experience required High School graduate or GED equivalent Medical Terminology required ICD-9/ICD-10, HCPCS and CPT coding knowledge ... and writes appeals for denials associated with the payment of claims within the department/division. Maintains appropriate timeliness of appeals for denials.… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Zelis (St. Petersburg, FL)
- …understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical ... integrity market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical … more
- Whitney Young Health Center (Watervliet, NY)
- …. Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the Financial Recovery ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding ...of medical claims knowledge and/or claims processing experience within the healthcare industry.… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- VNS Health (Manhattan, NY)
- …accuracy and compliance in the healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims , ensuring they meet all billing, ... medical records, including ICD-10-CM or current coding system and medical record systems required Strong knowledge of claims submission procedures and… more
- Guidehouse (Lewisville, TX)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing, coding , follow-up, finance, accounting or customer service related ... Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of...billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the… more
- Molina Healthcare (St. Petersburg, FL)
- **Molina Healthcare of Florida** is hiring for several Claims Examiners. These positions are remote; however, all candidates **must reside in the state of ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...of claims . + Manages a caseload of claims . Procures all medical records and statements… more
- HCA Healthcare (Denver, CO)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We ... have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider...of colleagues. Do you want to work as a Medical Insurance Claims Representative where your passion… more
