- Rady Children's Hospital San Diego (San Diego, CA)
- …for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF) has with each Payor. This incumbent is ... patient acct, the remittance codes from Explanation of Benefits ( EOB ) and Remittance Advice (RA). As well, they are...and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take… more
- Robert Half Accountemps (Los Angeles, CA)
- Description We are seeking a detail-oriented EOB Review Specialist to join our healthcare billing team. This role is responsible for reviewing Explanation of ... Requirements Medical Billing, Medical Collections, Medical Denials, Medical Appeals, Hospital Billing, EOB - Explanation of Benefits, EOB ,… more
- Robert Half Accountemps (Los Angeles, CA)
- …medical records teams to resolve discrepancies. Requirements + Previous experience in EOB review , medical billing, or healthcare claims processing ... Description A Hospital in Los Angeles is seeking a detail-oriented EOB Review Specialist to join the healthcare billing team. The EOB Review Specialist… more
- Fairview Health Services (Minneapolis, MN)
- …aging reports on third party payers + Communicate denials and Eligibility of Benefits ( EOB 's) to insurance company and patients + Review aging reports that have ... support day-to-day operations Process home infusion claims accurately and timely. + Review accounts for all needed information and communicate to correct departments… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …Business Office folder. + Discuss denials with UR staff and update Denial Tracker accordingly. Review EOB 'S for potential denials and or refunds. + Review ... are entered in the system for authorization, denials and EOB 's timely, scanned in DoclLnk and filed in monthly...coverage during breaks and lunches for PBX operator. + Review AR for overpayments and if applicable prepare patient… more
- Guidehouse (El Segundo, CA)
- …calls with soft collections._** + Heavy outbound & inbound calling + Patient Collections + EOB knowledge + Account Review + Customer Service + Account Updates + ... through on projects and work independently with minimal supervision + EOB knowledge strongly preferred + Understanding of healthcare software \#IndeedSponsored… more
- HCA Healthcare (Plantation, FL)
- …resolve claims that are notpaidin a timely manner. + Review EOB 's,remitsand payer correspondencewhileperforming accountfollow-upandescalateany identified issues ... join an organization that invests in you as a Medical Insurance Collections Specialist? At Parallon, you come first....to theappropriate areafor review and response toexpediteclaim resolution. + Identifyproblem accounts and… more
- Robert Half Accountemps (Sacramento, CA)
- …detail-oriented and organized professional with a talent for ensuring efficient medical billing processes? Robert Half's Healthcare Practice is seeking an ... experienced Medical Payment Poster for a contract-to-hire opportunity in Sacramento,...deposits and payments to accounts receivable ledger entries. + Review and resolve discrepancies in Explanation of Benefits (EOBs).… more
- Logan Health (Kalispell, MT)
- This position coordinates and facilitates patient medical billing and collection activities in assigned area(s). Assigned areas may consist of, but may not be ... of one (1) year experience in a hospital or medical office setting preferred. + Proficient with basic accounting...accurate, clear and factual manner. + Completes account maintenance review to ensure account information is accurate within billing… more
- CHS (Clearwater, FL)
- …monitoring strong operational controls relating to claims cost control, including review processes for potential pre-existing conditions, determining medical ... service, claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- Walgreens (Bristol, TN)
- …documentation is on file. + Ensure all Medicare documentation is received from the medical provider and submitted to Danville. + Review reports to maximize ... for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. +… more
- Surgery Care Affiliates (Seattle, WA)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... education regarding how to understand their Explanation of Benefits ( EOB ) + Take payments from patients + Provide requested...+ Read and understand contracts with Insurance companies + Review and determine if an adjustment is required on… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …of transmission planning staff and quality work products; conducts technical review of evaluations, calculations, reports, and recommendations prepared by less ... by spearheading SMUD and multi-utility work groups; spearheads or participates in review committees; presents or participates in project reviews by regulatory bodies… more
- Urology Clinics of North Texas (Mesquite, TX)
- …and correct billing errors; resubmit claims to insurance carriers as needed. + Review insurance Explanation of Benefits ( EOB ) and initiate appeals when ... Required Qualifications: + High school diploma or equivalent; additional medical or business education preferred. + Previous experience in Urology/Oncology,… more
- University of Rochester (Rochester, NY)
- …of the patient and clinical risk assessment, collateral information and review of current/percent history of clinical presentations/services. The clinical evaluator ... that information in conducting their own psychiatric evaluation and medical decision-making regarding disposition, Clinical Evaluator functions include identification… more
- Children's Hospital Boston (Boston, MA)
- …and closed timely. + Oversee the analysis of Explanation of Benefits ( EOB ) information, including the review of co-pays, deductibles, co-insurance, contractual ... are resolved promptly. The role demands a comprehensive understanding of medical cash reconciliation, refunds, and credit balance resolution processes, along with… more
- Johns Hopkins University (Middle River, MD)
- …billing procedures that may be defined by a payer or contract. + Review and update patient registration information (demographic and insurance) as needed. + Resolves ... statements according to the follow-up matrix. + Retrieves supporting documents ( medical reports, authorizations, etc.) as needed and submits to third-party payers.… more
- Guidehouse (San Marcos, CA)
- …three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer ... Would Be Nice To Have** **:** + 1+ year's medical provider experience working with UB04, appeals & denials....working with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows… more
- R1 RCM (Detroit, MI)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... working as an Operations Associate II:** + You have basic knowledge of EOB 's, CPT & ICD-9&10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals. + You… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …for posting and reconciling payments and credit card charges + Reconcile zero balance EOB 's - When insurance companies recoup/pay in bulk and no payment is received ... departmental policies regarding safety, attendance, and dress code + Review end of month aging to ensure cash posting...of the business. BENEFITS for full time Employees + Medical , Dental, and Vision insurance + 401 (k) (available… more
