- Cambia Health Solutions, Inc (Portland, OR)
- …of OR, WA, ID and UT Primary Job PurposeThe Provider Contract Management Specialist (PCMS) is responsible for support to ensure accurate development and execution of ... the contract database (eg Care Management, Audit teams).The Provider Contract Management Specialist Senior (PCMSS) is more experienced and highly proficient in the… more
- Creative Financial Staffing (Brimfield, OH)
- …Management: Communicate effectively with vendors and subcontractors regarding invoice discrepancies, payment inquiries, and resolution of payment issues ... Accounts Payable Specialist : CFS has partnered with a leading supply...and efficiently, ensuring adherence to company policies and procedures. Coding and Data Entry: Assign appropriate general ledger codes… more
- Accounting Now (Tampa, FL)
- …of hospitals (facility charges).Understanding of medical terminology, bill review, general coding , and appeals resolution .Ability to read, analyze, and interpret ... Medicare Appeals Specialist Do you like challenging payers? Enjoy that...through the CMS and Medicaid systems to resolve unfair payment practices and trends.Filing complaints with Medicare and Medicaid… more
- HCA Healthcare (Nashville, TN)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Coding Resolution Specialist III with Parallon you can be a ... Unlock your potential! **Job Summary and Qualifications** As a Coding Resolution Specialist III (CRS...codes for outpatient and inpatient claims subject to the payment window) + Assists the Coding Leads… more
- Trinity Health (Farmington Hills, MI)
- …practices. The position will report directly to the Supervisor Clinical / Coding Payment Resolution . **ESSENTIAL FUNCTIONS** Knows, understands, ... in the most timely manner possible: + Supports Supervisor Clinical/ Coding Payment Resolution with communication...draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further… more
- Trinity Health (Farmington Hills, MI)
- …for further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. ... PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be...refunds, and posting errors + Assist team members with coding questions and provide resolution guidance +… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Denial Coding Review Specialist like you to be...refunds, and posting errors + Assist team members with coding questions and provide resolution guidance +… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... America) Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in… more
- Lamar University (Beaumont, TX)
- Position Information Posting Number 20112727 Position Title Payment Specialist , Travel FTE 1.00 Position Type Staff Department Procurement & Payment Services ... Position Summary Information Job Summary/Basic Function About This Role: The Payment Specialist (Travel) is responsible for all activities related to the … more
- MaineGeneral Health (Waterville, ME)
- …Come be with us. Job Description: Join Our Team as an Accounts Receivable Resolution Specialist The Opportunity: This role presents an exciting opportunity to ... ensuring the correct diagnosis and procedure codes are used. + Claim Resolution : Review and address claim rejections, denials, and appeals, taking necessary actions… more
- Highmark Health (Jefferson City, MO)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of… more
- Vanderbilt University Medical Center (Nashville, TN)
- …maintaining an ongoing training plan related to clinical documentation and coding improvement. Develops and delivers educational programs and presentations. Serves ... as a resource for coding requirements and updates. Facilitates strategies for monitoring third-party...the following staff: + Inpatient Coders + Clinical Documentation Specialist (CDS) + Auditors + Providers The Lead IP… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …II and III and Compliance Specialist to handle accurate and timely resolution of coding -related claim edits and appeals. * Runs billing, Accounts Receivable, ... process from registration to charge entry to completion of payment process working within UT Health RGV EMR /Practice...causes and edit trends to leadership to ensure timely resolution . * Communicates effectively with the Billing Specialist… more
- Houston Methodist (Katy, TX)
- … payment or adjudication, and correctly identifies any patient liability (ie, contractual/ payment review, etc.) and ensures accurate resolution of account to ... 701 S Fry Rd 77450 (Katy)** At Houston Methodist, the Accounts Receivable Specialist position is responsible for billing and follow up of insurance or institutional… more
- El Paso County (Colorado Springs, CO)
- Medical Billing Specialist - Part Time Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4482548) Apply Medical Billing Specialist - ... Summary Join the Public Health Agency as a part-time Medical Billing Specialist , where we're seeking a candidate who embodies initiative, independence, and… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts are thoroughly ... by management. 2. Analyzes work queues and other system report and identifies denial/non- payment trends and reports them to the supervisor. 3. Responds to incoming… more
- Johns Hopkins University (Baltimore, MD)
- …+ Knowledge of medical terminology, CPT/ICD codes and diagnosis coding required preferred. Classified Title: Collection Specialist Role/Level/Range: ... who will be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and JHU/ PBS billing… more
- St. Luke's University Health Network (Allentown, PA)
- …to resolve the denial and/or resolution of the account. + Seeks resolution to problematic accounts and payment discrepancies with optimal goal of receiving ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well… more
- State of Colorado (Denver, CO)
- SNAP Quality Assurance Lead Compliance Specialist IV Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4468845) Apply SNAP Quality Assurance ... Lead Compliance Specialist IV Salary $68,100.00 - $88,536.00 Annually Location Denver...the federally mandated state "Quality Control System" that enhances payment accuracy and improves program administration including measuring program… more
