• Presbyterian Healthcare Services (Albuquerque, NM)
    …claims audits including, but not limited to, pre-existing condition determinations, review of coding and DRGs, medical necessity, and pricing Refers cases for ... healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state?s largest… more
    Neuvoo (12/16/18)
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  • Kelly Services (Monroeville, PA)
    …Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding , customer service or similar ... drive their business forward. If you only make one career connection today, connect with Kelly. As a Kelly...to numerous perks, including: Exposure to a variety of career opportunities as a result of our expansive network… more
    Neuvoo (12/17/18)
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  • Director of Insurance Billing Services…

    Henry Ford Health System (Detroit, MI)
    …timely and compliant manner. + Collaborates with HFHS departments to ensure pre- billing activities (including but not limited to: coding , insurance verification, ... GENERAL SUMMARY: The Director of Insurance Billing Services is responsible for the effective functioning of the Corporate Insurance Billing office across the… more
    Henry Ford Health System (12/08/18)
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  • Medicaid Billing Representative

    Philips (Framingham, MA)
    …following skills and experience** + High School Diploma, or equivalent. Associates Degree in Medical Billing and Coding or Accounting, preferred. Two years ... and fast paced environment where you will use your medical billing , collecting knowledge and experience to...and business processes. + Experience in CPT and ICD-10 coding ; familiarity with medical terminology. + Excellent… more
    Philips (11/28/18)
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  • Medical Claims Recovery Specialist II

    Health Management Systems, Inc. (Las Vegas, NV)
    …reimbursement experience such as provider contract development, healthcare claims analysis, medical billing / coding , patient accounting, claims auditing, ... HMS, you will develop new skills and build your career in a dynamic industry while making a difference...or misapplication of contract terms and rates, payment policies, medical policies, billing guidelines, and applicable regulatory… more
    Health Management Systems, Inc. (10/27/18)
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  • Research Analytics & Development Sr. Specialist…

    Health Management Systems, Inc. (TX)
    …reimbursement experience such as provider contract development, healthcare claims analysis, medical billing / coding , patient accounting, claims auditing, ... + Performs scoping analysis and development of new overpayment algorithms using SQL coding . + Applies knowledge of provider billing and patient accounting… more
    Health Management Systems, Inc. (11/06/18)
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  • Transplant Case Specialist

    University of Minnesota Physicians (Brooklyn Center, MN)
    …qualify for this role you must possess: + 4 years of experience in a medical clinic office, billing or payer environment as a patient representative or ... equivalent position + Understanding medical insurance billing including eligibility and claims...Knowledge of Microsoft Excel and Word + Knowledge of medical terminology, procedure and diagnostic coding +… more
    University of Minnesota Physicians (09/28/18)
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  • Sr. Appeals Specialist

    Medical Mutual of Ohio (Cleveland, OH)
    …systems. + Strong knowledge of claims adjudication, medical terminology, medical /hospital procedure and diagnosis coding and benefits interpretation. + ... as needed. + Identifies and requests internal/external documentation as needed for medical necessity appeal issues and submit cases to appropriate area for review.… more
    Medical Mutual of Ohio (12/13/18)
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  • Account Follow Up Specialist - 1.0 FTE

    University of Minnesota Physicians (Brooklyn Center, MN)
    …benefit applications. + Knowledge of medical terminology, procedure and diagnosis coding . + Insurance Billing software applications. + Microsoft Word and ... the multi-specialty group practice for the faculty of the University of Minnesota Medical School, University of Minnesota Physicians has more than 950 physicians and… more
    University of Minnesota Physicians (10/19/18)
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  • TPL Claims Representative

    MedData (Wildomar, CA)
    …management, and consulting and analytics solutions for healthcare systems, including billing , coding , patient balances, eligibility and enrollment, third party ... management, and consulting and analytics solutions for healthcare systems, including billing , coding , patient balances, eligibility and enrollment, third party… more
    MedData (12/15/18)
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  • Provider Audit Data Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …MEG, DxCg, and HCC is highly desired. Ability to demonstrate knowledge and experience in medical coding concepts (CPT, ICD-9 / 10 coding , HCPCS and DRGs) ... grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. You should know that: + Jobs are updated and posted daily.… more
    Blue Cross and Blue Shield of Louisiana (11/30/18)
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  • ITS Adjustment Processor

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …+ A minimum of six months of experience in the healthcare industry that includes medical billing or medical claims processing. + Prefer medical ... local communities. We invite you to apply for a career with Blue Cross. You should know that: +...course work or an associate's degree and/or diploma in medical coding . + Strong analytical ability, oral… more
    Blue Cross and Blue Shield of Louisiana (12/18/18)
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  • Benefits Verification Specialist

    Kelly Services (Monroeville, PA)
    …Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding , customer service or similar ... drive their business forward. If you only make one career connection today, connect with Kelly. As a Kelly...to numerous perks, including: Exposure to a variety of career opportunities as a result of our expansive network… more
    Kelly Services (12/13/18)
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  • Claims Examiner I

    Johns Hopkins Medicine (Glen Burnie, MD)
    …#:** 178852 **Location:** Johns Hopkins Health Care, Glen Burnie, MD **Category:** Coding **Work Shift:** Day Shift **Work Week:** Full Time (40 hours) **Weekend ... community we serve, as well as to our employees. Career opportunities are available in academic and community hospital...here. Responsible for the analysis, investigation, and adjudication of medical claims. Receive requests as either paper or EDI… more
    Johns Hopkins Medicine (12/11/18)
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  • Auto Adjuster II

    USAA (Colorado Springs, CO)
    …auto liability/casualty adjusting experience * 1 year Medical experience to include coding and billing or EMT The above description reflects the details ... losses involving neck injury, back injury, and Personal Injury Protection (PIP)/ Medical Payments (MP). * Acquires and applies developing knowledge of P&C insurance… more
    USAA (12/15/18)
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  • Sr. Managed Care Specialist

    Great American Insurance Co. (Lakeland, FL)
    …more years of Case Management experience. + Bill Review experience a plus (CPT/ICD/HCPS Coding and billing guidelines) + This is not a work-from-home position: ... company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer… more
    Great American Insurance Co. (10/18/18)
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