- Guidehouse (Tampa, FL)
- …Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position ... Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving… more
- TEKsystems (Tampa, FL)
- …Medical Claims Analyst + Experience and knowledge in Medical Billing , Claims Processing, Refunds/Reimbursement, Provider Relations, etc. + Experience working ... Job Description/Duties This role focuses on supporting claim and billing processes, provider outreach, and refund resolution. The ideal candidate will have strong… more
- TEKsystems (Tampa, FL)
- …and a commitment to delivering exceptional service. Skills Customer service, healthcare, billing , bill review, claims , provider relations, provider calls Top ... Skills Details Customer service,healthcare, billing ,bill review, claims ,provider relations,provider calls Additional Skills &...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- Elevance Health (Tampa, FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital -Acquired… more
- Zelis (St. Petersburg, FL)
- … for Health Plans and TPA's to ensure adherence to proper coding and billing , analyzing inpatient DRG claims based on industry standard inpatient coding ... of Health Insurance, Medicare guidelines and various healthcare programs + Understanding of hospital coding and billing rules + Clinical skills to evaluate… more