• Medical Billing Specialist III/IV

    Ventura County (Ventura, CA)
    …such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist IV is the lead level class and serves as technical advisors ... in collaboration with the compliance office. Additionally, they effectively lead and train billers on Managed Care,...+ Yes + No 07 The Medical Billing Specialist IV is the lead level… more
    Ventura County (10/25/24)
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  • Lead Billing Specialist,…

    Tufts Medicine (Lowell, MA)
    …school diploma or equivalent. 2. Three (3) years of experience in a hospital billing and collection environment for a medical services provider or third-party ... 4. Five (5) years of experience in a hospital billing and collection environment for a medical ...initiate any corrective action, including referral to the Team Lead or Supervisor when appropriate. 11. Reviews, evaluates and… more
    Tufts Medicine (11/13/24)
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  • Billing and Follow-Up Representative -II…

    Trinity Health (Farmington Hills, MI)
    …claims billing with Medicare needed** **Experience with the Epic medical billing system needed** Completion of regulatory/mandatory certifications and skills ... PURPOSE** Work Remote Position (Pay Range: $18.8367-$28.2551) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned… more
    Trinity Health (11/14/24)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Charleston, WV)
    …preferably with related software applications. KNOWLEDGE/SKILLS/ABILITIES + Knowledge of medical billing /collection practices. + Must be knowledgeable of ... Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
    CommuniCare Health Services Corporate (10/20/24)
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  • Home Health Billing and Collections…

    PruittHealth (Norcross, GA)
    …patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions * Experience in month end close activities ... settled in the timeliest manner. 7. Applies knowledge of specific payer billing /payment rules, managed care contracts, reimbursement schedules, eligible provider… more
    PruittHealth (11/05/24)
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  • Billing and Insurance Representative…

    Tidelands Health (Georgetown, SC)
    …**:** Under the general supervisor of the Revenue Cycle Manager, the Billing and Follow Up Representative applies professional administrative knowledge and skill ... the Accounts Receivable assets of Tidelands Health facilities by Billing & Collecting Insurance Claim Balance(s) and will be...payor issues and trends and escalate those issues to Lead and/or Management. + Ensure compliance with State and… more
    Tidelands Health (09/08/24)
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  • Correspondence Representative-I ( Medical

    Trinity Health (Farmington Hills, MI)
    …$14.3912-$21.5877) Performs the day-to-day correspondence activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business ... to ensure cost effective postage. Provides support for the Billing & Follow-Up teams by printing UB04's and sends... & Follow-Up teams by printing UB04's and sends medical records by Certified Mail. Unpacks and stocks supply… more
    Trinity Health (10/14/24)
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  • Manager Managed Care Contracting/Hybrid

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, ... medical centers, urgent care centers, and employed physicians of...Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating… more
    Henry Ford Health System (10/05/24)
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  • Managed Care Cash Poster

    CommuniCare Health Services Corporate (Charleston, WV)
    …preferably with related software applications. KNOWLEDGE/SKILLS/ABILITIES + Knowledge of medical billing /collection practices. + Must be knowledgeable of ... growth, CommuniCare Health Services is currently recruiting for a Managed Care Cash Poster to join our team. PURPOSE/BELIEF...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
    CommuniCare Health Services Corporate (10/21/24)
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  • VP, Managed Long-Term Services and Supports

    UPMC (Pittsburgh, PA)
    The Vice President has overall product ownership of the Managed Long-Term Services and Supports (MLTSS) program line of business, Community HealthChoices (CHC). In ... statutory requirements. The Vice President will serve as internal and external product lead , also overseeing the service coordination function for CHC. The VP will… more
    UPMC (11/09/24)
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  • Software Development Engineer II, EC2 Edge…

    Amazon (Seattle, WA)
    …business, with new technologies, from the ground-up. AWS Outposts are fully managed and configurable compute and storage racks built with AWS-designed hardware that ... complex tasks in the future Key job responsibilities - Lead feature development work on a team - Participate...the team Our team is focused on the ordering, billing , and installation lifecycle of the Outposts family of… more
    Amazon (10/08/24)
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  • Managed Care Data Platform Manager

    CommonSpirit Health (Englewood, CO)
    …+ Experience with healthcare claims and remit data preferred + Experience in medical and billing data preferred + Working knowledge of Python, JavaScript, ... a remote position. Seeking a strong manager of technical healthcare teams for Managed Care.** **Job Summary / Purpose** The System Manager, Data Engineering is… more
    CommonSpirit Health (11/08/24)
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  • Physician Billing & Collections Specialist…

    Trinity Health (Hartford, CT)
    …**Position Purpose** Develops a networking relationship with workers' compensation carriers, managed care organizations and employers for the purpose of ensuring ... with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals.… more
    Trinity Health (10/09/24)
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  • Admission Registration Lead - 4th Shift

    Rush University Medical Center (Oak Park, IL)
    …8 Hr (6:00:00 PM - 3:30:00 AM) **Summary:** The Admissions Registration Specialist Lead is responsible for reviewing patient registration for all types of admissions ... is complete and current with each patient visit. The Admissions Registration Specialist Lead is proficient in working in a multitude of WQs outside their assigned… more
    Rush University Medical Center (08/27/24)
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  • Guidewire Sr. Business Analyst BillingCenter…

    CGI Technologies and Solutions, Inc. (Worcester, MA)
    …our professionals. CGI is looking to build a specialized Guidewire Practice that will lead all Guidewire implementations and managed services for CGI customer in ... prepare test data, defect triage and resolve blockers * Ability to lead the implementation of Agent Billing * Document requirements specifications… more
    CGI Technologies and Solutions, Inc. (10/09/24)
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  • RCM Client Success Lead

    Spectrum Billing Solutions (Skokie, IL)
    …Revenue Cycle Account Manager | Business Office Manager | Accounts Receivable Specialist | Medical Billing Specialist | Medical Collections Specialist | ... and experience to ensure our client's revenue cycle is managed in the most efficient and streamlined manner. We...Office including Word, Excel and PowerPoint. RCM Client Success Lead | RCM Billing Specialist | Revenue… more
    Spectrum Billing Solutions (11/14/24)
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  • Patient Access Representative Lead

    Stanford Health Care (Palo Alto, CA)
    …necessary. Processes necessary admission/registration paperwork and obtains necessary documents for billing and compliance requirements. The PAR Lead position is ... Identifies patients' insurance coverage or existing financial resources to pay for medical care and services. Handles routine and complex customer service inquiries… more
    Stanford Health Care (09/27/24)
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  • Lead Developer - Duck Creek Claims

    Axis (Alpharetta, GA)
    …upon request for candidates taking part in the selection process. Technical Delivery Lead - Duck Creek Claims How does this role contribute to our collective ... success? The Technical Delivery Lead for Duck Creek Claims is the senior most...understanding of claims, underwriting, rating, insurance rules, forms and billing . + Collaborate and partner with vendors, creating a… more
    Axis (10/24/24)
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  • Patient Account Representative - Medical

    Covenant Health Inc. (Knoxville, TN)
    …claims in all payer categories, ie, Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This position assists the Billing Coordinator, Billing ... Manager. Coordinates and prioritizes daily responsibilities including evaluating complex errors on medical claims with the understanding of the billing process… more
    Covenant Health Inc. (09/24/24)
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  • Access Lead

    UPMC (Somerset, PA)
    UPMC is looking to hire an Access Lead to support the Patient Arrival department at UPMC Somerset. This position would primarily work 3:00pm-11:30pm Monday through ... various other shifts based on staffing needs. The Access Lead position will coordinate and lead the...time frames. Take action accordingly to ensure a successful billing process. + High school diploma or GED and… more
    UPMC (11/01/24)
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