• Sentara Healthcare (Virginia Beach, VA)
    coding guidelines, CMS Correct Coding Initiative edits, Optima Health Coding policies, Milliman Criteria, Clinical Care Services Medical Policies and ... coding justifications for denials to providers; will identify trends in provider billing / coding errors and utilizes findings to create cost saving review… more
    Washington Post (09/03/18)
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  • INFINITY BEHAVIORAL HEALTH SERVICES (Kingston, NY)
    …to collaborate with other team members and management to learn and to master best medical billing practices. Must have sense of urgency and strong work ethic. ... as such, we offer a tuition reimbursement program and career advancement opportunities. INFINITY is dedicated to its employees’...High School or GED required; some college coursework in medical billing or AA preferred. INFINITY /… more
    ZipRecruiter (09/10/18)
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  • Highmark Health (Parkersburg, WV)
    …or experience Master’s education level in relevant field Professional health claim coding / billing certification 3 years of clinical practice Bachelor’s Degree ... Job Description Description I. GENERAL OVERVIEW: The Medical Underwriter analyzes Individual and/or Group medical...our communities, one person at a time. Discover a career that makes a true difference in your life… more
    ZipRecruiter (09/20/18)
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  • QuickRx (Brooklyn, NY)
    …a must. Bachelor’s degree; required. Experience with Account Receivable medical billing , preferred. Knowledge of CPT, ICD-10 coding and HIPAA, preferred. ... charge posting. Follow up on unpaid claims within standard billing cycle timeframe. Check insurance payments for accuracy and...Word, Excel) What We Offer: Supportive and Collaborative Team Career Growth Paid Time Off Medical Insurance,… more
    ZipRecruiter (09/05/18)
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  • Visionpro (Oak Brook, IL)
    Medical Surgical, or Pediatrics preferred Advanced Practice Nursing, Billing and coding experience, preferred REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: ... in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims...count on VisionPRO to passionately help them maximize their career choices, while also supporting their growth opportunities. We… more
    Jobs2Careers (09/21/18)
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  • 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
    Jobs2Careers (09/20/18)
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  • National General Insurance (Brookhaven, NY)
    …our reserving philosophy Update the claim database system with proper and adequate coding and documentation Utilize and maintain diary on all open claims Review all ... of the claim Review vendors' bills for accuracy and resolve any billing issues and/or inconsistencies with the vendor Determine subrogation/salvage potential on all… more
    ZipRecruiter (09/21/18)
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  • Medical Billing - Reimbursement…

    Philips (Framingham, MA)
    …QUALIFICATIONS: o Education Requirements: High School Diploma, or equivalent. Associates Degree in Medical Billing and Coding or Accounting, preferred. Two ... experience** + **Education Requirements:** High School Diploma, or equivalent. Associates Degree in Medical Billing and Coding or Accounting, preferred. Two… more
    Philips (08/11/18)
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  • Billing and Follow Up Representative

    Mercy Medical Center Clinton (MI)
    …preferred. 3. Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-9/10, CPT, HCPCS), and basic computer skills are ... is required. Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-10 , CPT, HCPCS), and basic computer skills… more
    Mercy Medical Center Clinton (09/20/18)
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  • Medical Coding Consultant

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    medical and surgical procedures is required. Extensive experience with provider billing practices, American Medical Association coding guidelines, Correct ... **POSITION PURPOSE** **:** This position serves as the chief medical coding expert on CPT, HCPCS, ICD-10-CM,...research, analysis and application of CPT, HCPCS, and ICD-10-CM coding , billing and reimbursement guidelines for Medicare… more
    Blue Cross and Blue Shield of Louisiana (09/13/18)
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  • Claims Specialist - Central Billing Office…

    Mercy Medical Center Clinton (South Bend, IN)
    …to all laws and regulations pertaining to patient health, safety and medical information. 3. Coordinates accounts receivable processing within the team, other areas ... to claim components, such as erroneous or late charges, dates of service, billing codes and claim formatting. Documents and refers issues of concern to Supervisor.… more
    Mercy Medical Center Clinton (09/19/18)
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  • Patient Account Representative / Billing

    Kelly Services (Durham, NC)
    …Carolina! This position provides an opportunity to work with one of the top medical facilities in the area. **We are seeking candidates with the following skill set ... the UB-04 hospital claim form, as well as standard CPT, HCPCS & ICD10 coding terminology + Knowledge of HMO/PPO, Medicare, Medicaid, and other payer guidelines and… more
    Kelly Services (09/05/18)
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  • Payment Resolution Analyst

    Mercy Medical Center Clinton (IA)
    …managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, ... managed care contracts and coordination of benefits is required. Working knowledge of medical terminology and medical record coding experience (ICD-9, CPT,… more
    Mercy Medical Center Clinton (09/16/18)
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  • Medical Claims Recovery Specialist - Remote

    Health Management Systems, Inc. (TX)
    …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. (09/12/18)
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  • Medical Claims Auditor II - Remote

    Health Management Systems, Inc. (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. (08/10/18)
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  • Provider Auditor - Hospital Inpatient Auditor

    Blue Cross Blue Shield of Massachusetts (Quincy, MA)
    …review is responsible for verifying the accuracy of claims reimbursement, clinical significance, medical necessity, coding and billing in accordance with the ... will be a subject matter expert in regards to coding and billing . S/he will also respond...medical record reviews in accordance with pre-selection criteria, billing trends, and supporting documentation. + Monitor existing/emerging trends… more
    Blue Cross Blue Shield of Massachusetts (09/19/18)
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  • Medical Claims Analyst

    Robert Half Accountemps (Phoenix, AZ)
    If you're looking for work as a Medical Claims Analyst, Robert Half has an opening for someone who is highly skilled and success-driven about growing their career ... prestigious healthcare company. You will be successful in this Medical Claims Analyst role if you can provide hard...like you! You might be right for this fantastic Billing Associate position in the Phoenix, AZ area with… more
    Robert Half Accountemps (09/15/18)
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  • Medical Claims

    Robert Half Accountemps (Palm Desert, CA)
    …software, word processing and spreadsheet applications. ? Experience in CPT and ICD-10 coding ; familiarity with medical terminology. Working knowledge of EMR and ... Growing Medical Center seeks Medical Claims Specialist...any missing information. ?Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. ?Following… more
    Robert Half Accountemps (09/08/18)
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  • Posting Representative

    Mercy Medical Center Clinton (IA)
    …highly desirable. Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-9, CPT, HCPCS), and basic computer skills are ... Communicates with physicians and their office staff, Patient Access, Medical Records/Health Information Management, Utilization Review/Case Management, Managed Care,… more
    Mercy Medical Center Clinton (09/16/18)
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  • Senior Reimbursement Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …one year of experience in the health industry accounting functions including billing , coding , Medicare or statistical analysis of financial information required. ... local communities. We invite you to apply for a career with Blue Cross. You should know that: +...support analysis as well as training documentation describing programming, billing and payment guidelines for internal and external use.… more
    Blue Cross and Blue Shield of Louisiana (09/15/18)
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