- ManpowerGroup (Ann Arbor, MI)
- Our client, a leading healthcare organization, is seeking a Claims and Insurance Billing Associate to join their team. As a Claims and Insurance Billing ... which will align successfully in the organization. Job Title: Claims and Insurance Billing Associate Location: Ann Arbor, MI Pay Range: $20-22.00/hr. Shift:… more
- Prime Therapeutics (Lansing, MI)
- …analysis of large datasets and audit findings to detect high-risk pharmacy claims , identify billing irregularities, and uncover patters of non-compliance or ... future of pharmacy with us. Job Posting Title Pharmacy Claims Auditor - Remote Job Description The Pharmacy ...Claims Auditor - Remote Job Description The Pharmacy Claims Auditor is responsible for identifying and evaluating potential… more
- Beth Israel Lahey Health (Charlestown, MA)
- …accounts with higher complexity in any Claims Edit work queue and resubmits claims through the Epic Billing System. Works higher level of complexity specific ... claim edit work queue(s) daily and resubmit claims through the Epic billing system Works higher level of complexity External claim edits from Clearinghouse and… more
- Community Health Systems (Kingston, PA)
- …all policies and standards. Qualifications 0-2 years of experience in medical billing , insurance claims processing, or revenue cycle management required ... Benefits As a Billing Specialist I, you'll join a team and...regulations and organizational policies. Essential Functions Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements… more
- Robert Half (Raleigh, NC)
- …portals and their functionalities. Strong skills in handling claim denials and rejected claims . Knowledge of medical billing procedures and practices. Ability to ... Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh,...is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive… more
- Saint Francis Health System (Tulsa, OK)
- …coordinating all aspects of patient financial services including professional and hospital claims billing , cash posting, and management of patient receivables. ... Work Experience: Minimum 8 years experience in Hospital and Professional billing and claims in an Epic environment. Experience with Epic systems. Knowledge,… more
- Elevance Health (Mason, OH)
- …quality assurance environment preferred. Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer ... Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Cardinal Health (Columbus, OH)
- …things done. The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of ... responsibilities as dictated below with guidance and support from AR & Billing leadership teams. Responsibilities Processes claims : investigates insurance … more
- Elevance Health (St. Louis, MO)
- …hospital coding or quality assurance environment preferred. Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Molina Healthcare (Chandler, AZ)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Molina Healthcare (Warren, MI)
- …root cause analysis, and project management. Advanced knowledge of medical billing codes and claims adjudication processes. Strong analytical, organizational, ... Job Description Job Summary The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, … more
- UPMC (Pittsburgh, PA)
- …and maintain productivity levels as defined by management. Must have 1 year of claims / billing /collections experience; OR 4 years in a business office setting; OR ... insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies,… more
- UPMC (Washington, PA)
- …id="qualificationInt-value" formfieldid="qualificationInt" Must have 1 year of claims / billing /collections experience; OR 4 years in ... for an exciting adventure in the world of healthcare billing ? In our dynamic business office, you'll play a...of business by ensuring the timeliness and accuracy of billing , collections, contractual postings, payments and adjustments of accounts… more
- UnitedHealth Group (Phoenix, AZ)
- …computers as the primary job tools 1+ years of experience processing insurance claims or billing /collections in a healthcare or commercial setting Familiarity ... a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of all… more
- Cardinal Health (Little Rock, AR)
- …and appealing denied and rejected claims Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing ... Following up on unpaid claims within standard billing cycle time frame Calling insurance companies regarding any discrepancy in payment if necessary Reviewing… more
- Fairview Health Services (St. Paul, MN)
- …Epic applications within 1 Year Resolute Hospital Billing Charging or Resolute Professional Billing Claims or Resolute Hospital Billing Claims or ... Epic EHR system to ensure compliance with CPT/HCPC coding, National Uniform Billing Committee (NUBC), revenue code, billing , payor, and regulatory requirements.… more
- Sedgwick (Little Rock, AR)
- …from properties for completed and partial stays Audit hotel folios and related claims for billing accuracy, compliance, and documentation Verifies and maintains ... responsible for handling inbound calls, processing hotel extensions, supporting billing -related questions, and performing administrative tasks to ensure accuracy,… more
- Highmark Health (Little Rock, AR)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing , lab, and Rx), to solve complex issues and problems. A ... dental and vision claims , provider data, financial data (ie, revenue, premium, billing , pricing) and a variety of external normative and benchmark data. Lead the… more
- CVS Health (Monroeville, PA)
- …patients, physician's offices or insurance carriers as needed in order to expedite billing claims . Process adjustments based information provided in work queues ... a Pharmacy Insurance Collections Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service… more
- Commonwealth Care Alliance (Boston, MA)
- …or related field preferred. Certified Professional Coder (CPC) - AAPC Certified Claims Professional (CCP) Other AHIMA or Medicaid billing -related certifications ... 011250 CCA- Claims This position is available to remote employees...standards and MassHealth requirements. Maintain awareness of MassHealth transmittals, billing guides, and program updates to ensure adherence in… more
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