• Specialty Medical Bill

    Rising Medical Solutions (Milwaukee, WI)
    …quickly to client needs + Being the best, not the biggest The Role: The Specialty Medical Bill Auditor will maximize savings for clients by accurately ... Headquartered in Chicago, RISING Medical Solutions is a privately held, financial solutions...accuracy goals + Generate accurate and easy-to-understand Explanation of Review (EOR) statements and correspondence letters + Participate in… more
    Rising Medical Solutions (09/30/25)
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  • Insurance Biller FT-Katy

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Insurance Biller position is responsible for processing all billing related functions within the Centralized Business Office (CBO). This ... includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and… more
    Houston Methodist (08/28/25)
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  • Senior Medical Biller (CPC or CPA…

    FlexStaff (New York, NY)
    **Req Number** 166842 We are looking for a seasoned Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and ... work for our external client, a world leading neurological medical center, located in Manhattan, NY. The company provides...and offer feedback and suggestions for process improvement. * Review and verify billing codes (CPT, ICD-10, and HCPCS)… more
    FlexStaff (09/05/25)
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  • Health Insurance Biller

    City of New York (New York, NY)
    …provided to insured New Yorkers that seeks services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH ... perform health insurance billing activities and support functions including claim review , claim submission, follow up and collection activities. Applicants must be… more
    City of New York (08/14/25)
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  • Revenue Cycle Specialist / Biller and Coder

    System One (Frisco, TX)
    …Administration, Business, or related field (preferred). + Minimum 3 years of medical billing and coding experience; neurology or specialty practice preferred. ... to make an impact. Apply today for immediate consideration! Responsibilities + Review and verify accuracy of patient demographic, insurance, and charge information… more
    System One (10/09/25)
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  • Medical Bill Review Senior…

    Zurich NA (Schaumburg, IL)
    Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for a ** Medical Bill Review Senior Nurse** to work from our ... expert by assisting with training and mentoring lower level Specialty Nurses and sharing technical knowledge. + Protect Zurich's...to up to date and accurate information to understand medical bill review performance. +… more
    Zurich NA (09/10/25)
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  • Wealth Specialty Department Specialist…

    Truist (Atlanta, GA)
    …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** The Specialty Department Specialist role ... for SEG clients enrolled in our Financial Management and Bill Pay service. Financial Management & Bill ...the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and… more
    Truist (09/05/25)
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  • AD, Trade & Specialty Operations

    Boehringer Ingelheim (Ridgefield, CT)
    …​ **Description** The Associate Director, Trade & Specialty Operations is responsible for the design and ... implementation of BI's Specialty pharmacy (SPP) and specialty distributor (SD)...internal preparation, and material creation for SPP quarterly business review (QBR) process. The AD will serve as a… more
    Boehringer Ingelheim (10/01/25)
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  • Specialty Sales Representative, Pulmonary

    Grifols Shared Services North America, Inc (Rockford, IL)
    …environmental needs like connection to Marketing, Managed Markets, Operations, CL&D, and Medical Affairs. They are also tasked at hybrid rep-enabled capabilities to ... how to work regional/local systems, centers of excellence, patient advocacy, specialty pharmacy customers and individuals involved with the customer journey. Clearly… more
    Grifols Shared Services North America, Inc (10/08/25)
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  • Telemetry MedSurg Specialty Nurse

    UHS (Johnson City, NY)
    …ANA Scope and Standards of Practice, Code of Ethics for Nurses, and the Bill of Patient Rights. The RN promotes a caring and healing environment for patient-centered ... Department, Division, or Unit: South Tower 4 Med-Surg Telemetry, UHS Wilson Medical Center Primary Work Shift: Rotational Compensation Range: $40.70 - $61.05 per… more
    UHS (08/16/25)
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  • Senior Claims Manager - Risk and Insurance

    Bon Secours Mercy Health (Cincinnati, OH)
    …on department guidelines. + Works in conjunction with defense counsel to select the appropriate medical experts by specialty to review cases and provide an ... through extensive review of defense bills utilizing bill review software and department guidelines to...values + Making presentations to ministry leadership + Interpreting medical records + Building rapport Many of our opportunities… more
    Bon Secours Mercy Health (10/10/25)
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  • Coding and Billing Specialist, Surgery Center

    Excelsior Orthopaedics Group (Amherst, NY)
    …on your preference.** Job Summary We are seeking a detail-oriented and experienced Medical Coder/ Biller to join our Ambulatory Surgery Center (ASC) team. This ... team focused, service driven, accountable, and innovative every day. + Accurately review and abstract information from operative and clinical documentation to assign… more
    Excelsior Orthopaedics Group (10/11/25)
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  • Nurse Practitioner-Cardiovascular Institute…

    Mount Sinai Health System (New York, NY)
    …diagnose, treat, and prescribe for a patients condition that falls within their specialty area of practice. NOTE: Medical orders, progress notes and treatments ... certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who… more
    Mount Sinai Health System (10/11/25)
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  • Nurse Practitioner - Klingenstein 3 NICU - Mount…

    Mount Sinai Health System (New York, NY)
    …diagnose, treat, and prescribe for a patients condition that falls within their specialty area of practice. NOTE: Medical orders, progress notes and treatments ... certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who… more
    Mount Sinai Health System (09/26/25)
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  • Nurse Practitioner - Cancer Center - Mount Sinai…

    Mount Sinai Health System (Long Island City, NY)
    …diagnose, treat, and prescribe for a patients condition that falls within their specialty area of practice. NOTE: Medical orders, progress notes and treatments ... certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who… more
    Mount Sinai Health System (09/23/25)
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  • MIRH Medical Specialist, Bureau of Maternal…

    City of New York (New York, NY)
    …guidelines for infant safe sleep and health. * Participate in the development and/or the review of medical and technical review of materials developed by the ... NOT BE LIMITED TO: Under the direction of the Medical Director (MD), the Medical Specialist will:...policies and processes. Support Lead and manage clinical case review and abstraction process for infant death cases and… more
    City of New York (08/13/25)
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  • Field Reimbursement Manager

    Amgen (Phoenix, AZ)
    …care, clinical support, and/or sales + Strong medical reimbursement experience and/or Specialty Pharmacy and Buy & Bill knowledge + Proven presentation and ... specialty /biologic self-injectable (pharmacy benefit) or physician-administered (buy and bill / medical benefit) products + Advanced knowledge of medical more
    Amgen (10/09/25)
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  • Lead Reviewing Medical Officer (RMO - Law…

    STG International (Rockville, MD)
    … officer for the LE-P (LE-P). * Responsible for daily supervision of LE-P medical review staff. o Assesses the quality, accuracy, completeness, and timeliness of ... that medical reviews are appropriately distributed among medical review staff. * Ensures that ...using appropriate resources. * Performs LE-P case reviews to bill a minimum of 50% of time. * Supports… more
    STG International (08/28/25)
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  • Lead Reviewing Medical Officer (RMO)-…

    STG International (Rockville, MD)
    …DOL, and PACS. . Responsible for daily supervision of MEP, DOL, and PACS medical review staff. o Assesses the quality, accuracy, completeness, and timeliness of ... that medical reviews are appropriately distributed among medical review staff. . Ensures that ...FECA DMA requirements. . Performs MEP case reviews to bill a minimum of 50% of time. . Supports… more
    STG International (08/28/25)
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  • Medical Specialist 2

    New York State Civil Service (Thiells, NY)
    …ensure the provision of quality care. * Review of lab work, specialty consults, hospital discharges, medical visit summaries and diagnostic reported when ... accepting an individual back into the group home residence.* Review medical information for new admissions to...by a Member Board of the American Board of Medical Specialties (ABMS) in your specialty . In… more
    New York State Civil Service (09/23/25)
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