- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …CPT/HCPCS & ICD10 coding , CMS Manual, Prepayment Claim Edits. Correct Coding Initiative (OCE/NCCI) and Professional and Institutional billing guidelines + ... Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading the research development, proposal,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …the claims according to appropriate guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity, ... Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services...Collaborate with the Physician Review Unit to assist with medical necessity determinations and billing practices. +… more
- Kelly Services (Glastonbury, CT)
- …to Friday **Pay:** $26+ depending on experience **Certificates and Licenses:** Medical coding / billing strongly preferred. **Education/Experience:** Associate ... software, internet software, time keeping system, proprietary software, and medical coding / billing or insurance claims...member of the Kelly Talent Community. Get a complete career fit with Kelly (R) . You're looking to… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ 4 years of experience in the health industry accounting functions including billing , coding , Medicare or statistical analysis of financial information is ... local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to...support analysis as well as training documentation describing programming, billing and payment guidelines for internal and external use.… more
- Kelly Services (Glastonbury, CT)
- …$22 **Requirements:** **Bilingual (** **English/Spanish** **) Required** **Certificates and Licenses:** Medical coding / billing or insurance claims processing ... Specialist to support our client in Glastonbury, CT. **Title:** Medical Claims Specialist / CSR **Hours:** 11:30 am to...member of the Kelly Talent Community. Get a complete career fit with Kelly (R) . You're looking to… more
- North Carolina State University (Raleigh, NC)
- …The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding , medical -dental ... consent and regularly auditing patient records for accuracy and completion of billing , coding , and clinical documentation. This position answers questions from… more
- Serco (Washington, DC)
- …managed care claims and third- party liability; + Knowledge of payment systems and coding , billing and compliance rules; and + Knowledge of the Medicaid and/or ... contract which includes collection of state eligibility policies and medical records; eligibility reviews, medical reviews, and...third- party liability; + Knowledge of payment systems and coding , billing and compliance rules; and +… more
- Serco (Washington, DC)
- …working with states' claims processing systems (including MMIS), payment policy, payment systems, coding , billing , and compliance rules in Medicaid and CHIP. + ... working with states' claims processing systems (including MMIS), payment policy, payment systems, coding , billing , and compliance rules in Medicaid and CHIP; +… more
- Serco (Washington, DC)
- …**Competencies** + Strong program management experience; + Knowledge of payment systems and coding , billing and compliance rules; + Knowledge of the Medicaid ... w/ federal improper payment programs; + Knowledge of state payment systems and coding , billing and compliance rules, preferably on Medicaid and/or CHIP claims… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …years of business and/or systems area specific knowledge + Strong knowledge of claims, medical coding / billing , and NASCO, Jira, BlueSquared, MHK, and data ... + Define, develop, and implement test plans and test cases to validate new coding logic or system changes for complex business requirements + Work closely with IT… more
- Universal Health Services (Brentwood, TN)
- …which insurance require which type of claim form. + Knowledge of basic medical coding and third-party operating procedures and practices + Demonstrates ability ... a timely manner and proactively communicates any denial issues related to billing requirements. Completes re-bill request as necessary to facilitate timely and… more
- USAA (Chesapeake, VA)
- …years auto liability/casualty adjusting experience + 1yr Medical experience to include coding and billing or EMT + Ongoing Professional Development with a ... complex bodily injury and UM claims or catastrophic auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating,… more
- Crawford & Company (Lake Zurich, IL)
- …fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations. + Keeps Team Manager ... Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority.… more
- EssilorLuxottica (Mason, OH)
- …+ High school diploma + 3+ years of related work experience + Experience with medical vision claims and coding + Ability to prioritize handling of issues + ... If you're passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation… more
- Universal Health Services (Reno, NV)
- …the insurance industry preferred. + In-depth knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and healthcare billing procedures. + ... work environment + Competitive Compensation & Generous Paid Time Off + Excellent Medical , Dental, Vision and Prescription Drug Plans + 401(K) with company match and… more
- UCLA Health (Los Angeles, CA)
- …skills * Knowledge of medical terminology, claim forms, and physician billing coding * Ability to read/interpret contracts, standard reference materials, ... system. Elevate the operational effectiveness of an award-winning healthcare leader. Take your career in an exciting new direction. You can do all this and more… more