- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials… more
- Veterans Affairs, Veterans Health Administration (IN)
- …regular reports to top management regarding the status of billed/unbilled claims . Develops performance standards and conducts performance evaluations for subordinate ... creditable experience that is paid or non-paid employment equivalent to a MRT ( Coder ). C. Certification. At this level you must have a mastery level certification.… more
- Ellis Medicine (Schenectady, NY)
- …manner. Requirements: High School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health ... Basic Function: The Medical Coder II is responsible for the revenue cycle...worklists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the… more
- University of Rochester (Rochester, NY)
- …Coding Specialist (CCS) preferred. + **Or** + Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical ... GENERAL PURPOSE: The Medical Coder III functions as an advanced coder...+ Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as an Outpatient Coder today with Work from Home. **Benefits** Work from Home, offers a total ... by location._** Come join our team as an Outpatient Coder . We care for our community! Just last year,...post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall… more
- Trinity Health (Livonia, MI)
- …established by Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Trinity Health (Livonia, MI)
- …by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- OLV Human Services (Lackawanna, NY)
- …program Full Job Description **Job Summary:** The Billing & Accounts Receivable Specialist is responsible for billing claims , posting payments, and follow ... Billing & Accounts Receivable Specialist 790 Ridge Rd, Lackawanna, NY 14218, USAReq...agency. **Essential Job Duties:** + Review, scrub, and submit claims in a timely fashion + Address claim rejections,… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …employment.** Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services ... Medical Billing and Coding Certificate or Degree in field, Certified Professional Coder (CPC), Nationally Registered Certified Coding Specialist (NRCCS) or… more
- Beth Israel Lahey Health (Burlington, MA)
- …and helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 4. Maintains open ... you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital...Central Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials, appeals and… more
- The Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue ... coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to… more
- Zelis (NJ)
- POSITION OVERVIEW: The Client Policy Specialist is a client facing role that will act as the subject matter expert (SME) as it pertains to Zelis editing product in ... support of the growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing opportunities for the… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as an Inpatient Coder today with Work from Home. **Benefits** Work from Home, offers a total ... by location._** Come join our team as an Inpatient Coder . We care for our community! Just last year,...Today! **Job Summary and Qualifications** As an Inpatient Coding Specialist , you will be responsible for working inpatient coding… more
- Aligned Modern Health (IL)
- …skills. + Certifications: Certified Professional Biller (CPB), Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) ... and manage the performance of the outsourced billing teams, inclusive of claims processing, denials management, AR, payment posting, and ensuring timely and accurate… more