• BCBS Insurance - Medical

    Insight Global (San Diego, CA)
    …doing collections for 25-30 accounts per day - Blue Cross Blue Shield Insurance Billing /Collections experience - CareVoyant experience, Waystar - Experience with ... Job Description Provides administrative support in the billing and collections function of the medical...medical revenue cycle process. Prepares new charges, completes insurance verification, maintains patient records, and is responsible for… more
    Insight Global (09/12/24)
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  • Nurse Reviewer

    Zelis (Morristown, NJ)
    …conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan ... Highly organized with attention to detail + Clinical skills to evaluate appropriate Medical Record Coding and billing accuracy Leadership Activities: + Provides… more
    Zelis (09/05/24)
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  • Itemized Bill Review, Facility Reviewer

    Zelis (Morristown, NJ)
    …Technical Skills / Knowledge: + CPC credential preferred + Working knowledge of health/ medical insurance and handling of claims + General knowledge of provider ... claims/ billing , with medical coding and ...750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers,… more
    Zelis (08/29/24)
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  • Inpatient DRG Reviewer

    Zelis (TX)
    …coding and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root cause analysis and identifying solutions + ... exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific… more
    Zelis (09/12/24)
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  • Patient Service Specialist

    Select Medical (Longmont, CO)
    …with parties including, but not limited to: attorney offices, insurance companies, translation companies, market operational leaders and business development ... + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Provide patients with pertinent information about… more
    Select Medical (09/12/24)
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  • Supervisor, Independent Dispute Resolution

    Zelis (GA)
    …experience required + Five years or more experience in healthcare, health insurance , or healthcare compliance + Five years or more experience working with ... arbitration, appeals or disputes + 2-4 years of medical claims, coding and/or revenue cycle experience + Five years or more of customer or client services experience… more
    Zelis (08/07/24)
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  • Patient Service Specialist

    Select Medical (Arvada, CO)
    …typical responsibilities include the following: + Work service queues sent from our billing department + Work missing information reports + Purchase money orders + ... Track plan of cares from doctor offices + Explaining billing information when patients calls in regarding their bill...from doctors + Submit authorizations/ retro authorizations for all insurance companies that we take + such as: UHC,… more
    Select Medical (09/12/24)
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  • Medical Collector

    TEKsystems (Herndon, VA)
    Medical Collector Herndon, VA $17-18/hr Remote After Training - Must be a greater DMV Resident! Job Highlights: + This position is a 40-hour per week, full-time ... - working with payors including: Medicaid, CareFirst, Cigna, Aetna, BCBS , and more. + Associate will handle both inbound...information on debtors. + Contact and follow up with insurance when necessary for account resolution. + Meet and/or… more
    TEKsystems (09/12/24)
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  • Customer Operations Rep (Weekends)

    RPM (Royal Oak, MI)
    …industry Compensation and Benefits + Base + VC (based on achieving company/team goals) + BCBS ( medical ), Delta Dental & VSP (vision) + Life insurance , short ... requirements by building orders, covering shipments, providing track & trace, billing , and collections. + Understand market trends and industry standards to… more
    RPM (08/09/24)
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