- Accounting Now (Tampa, FL)
- …or prior authorizations for inpatient/outpatient, hospital/physicianExperience in healthcare claims processing and proficiency with medical billing and ... The Denials Specialist performs advanced-level work related to clinical and...and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims… more
- AppleOne (Jacksonville, FL)
- …to ensure timely and accurate billing and reimbursement.Key Responsibilities:Process and submit medical claims to insurance companies electronically or by paper ... We are seeking a detail-oriented and experienced Medical Billing Specialist to join our...submission.Verify insurance coverage and obtain any necessary authorizations or referrals.Review medical documentation to ensure… more
- Creative Financial Staffing (New Hyde Park, NY)
- …with Billing Director on ad hoc projects Experience Preferred for the Billing Specialist : 2+ years of medical billing experience preferred Customer service ... Billing Specialist About the Company & Opportunity: Extremely stable...department Working with health insurance remittance payments Verifications and authorizations with third party insurance, commercial insurance MCO and… more
- TEKsystems (Houston, TX)
- …of prescription/ medical insurance. Relevant call center experience working with medical claims / authorizations (including appeals and denials) is highly ... Description: *Provide subject matter expertise on medical and prescription insurance coverage/ verification, claim billing,...*Accurately document and complete the filing process for prior authorizations and appeals. Monitor the status to ensure a… more
- Honor Community Health (Pontiac, MI)
- …denied billing claims , working to make necessary corrections and resubmitting the claims . In addition, the Billing Specialist I will support the clinicians ... the COVID-19 Vaccine. Position Description The full time, non-exempt (in-person) Billing Specialist I is an essential member of a high performing healthcare team… more
- University of Michigan (Ann Arbor, MI)
- …aspects of medical necessity criteria and payer requirements. + Obtain retro authorizations on billed and rejected claims and denied procedure codes for ... Pre-Certification Specialist Apply Now **How to Apply** A cover...interpretation and extraction of pertinent clinical documentation to support medical necessity criteria and level of care determinations. The… more
- Johns Hopkins University (Middle River, MD)
- …able to recognize and resolve incorrect demographic and insurance registration. The Specialist must have an understanding of claims submission requirements for ... will be responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and...according to the follow-up matrix. + Retrieves supporting documents ( medical reports, authorizations , etc) as needed and… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for ... and statements according to the follow-up matrix. + Retrieves supporting documents ( medical reports, authorizations , etc) as needed and submits to third-party… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for ... and statements according to the follow-up matrix. + Retrieves supporting documents ( medical reports, authorizations , etc.) as needed and submits to third-party… more
- State of Georgia (Dekalb County, GA)
- …documentation entered timely, appropriate, and sufficient to record services rendered. + Medical authorizations requiring CPT codes; reach out to providers for ... + Receive & Process Counselors requests for authorization drafts. + Staff complex authorizations with billing specialist supervisor + Monitors data reports to… more
- Limitless Male (Omaha, NE)
- …and many other ancillary products to help men feel their best! JOB TITLE: Medical Billing Specialist & Accounts Receivable EMPLOYER: Limitless Male Medical ... Clinic DEPARTMENT: Billing REPORTS TO: Billing Manager SUMMARY: The Medical Billing Specialist & Accounts Receivable should have thorough claim processing… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure services are ... Licenses/Certifications None Required Experience One (1) year of experience processing prior authorizations and referrals in a medical setting. Knowledge of… more
- Johns Hopkins University (Baltimore, MD)
- …to the claim's submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of claims submission requirements ... for all payors in order to expedite payments. The Specialist will research and interpret medical policies...according to the follow-up matrix. + Retrieves supporting documents ( medical reports, authorizations , etc) as needed and… more
- Butterfly Effects (Deerfield Beach, FL)
- …Therapy Provider is looking for passionate candidates for the position of Collections Specialist . Butterfly Effects is seeking to add a Collection Specialist to ... national collections needs of the Billing and Collections department. The Collections Specialist will join a team that strives to maintain customer satisfaction… more
- Adams County Government (Westminster, CO)
- …Billing and Coding Specialist is responsible for generating and processing medical claims within the Electronic Health Record (EHR) system, implementing ... Medical Billing and Coding Specialist -165320 Print...charges and appropriate codes and modifiers are assigned, scrubs claims , and reconciles EOBs, payments and statements sent to… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …experience, including thorough knowledge of registration, scheduling, pre-certification, prior authorizations , coding, claims billing, customer service, posting, ... Position Information Posting NumberSRGV7443 Working TitleBILLING SPECIALIST I Number of Vacancies1 LocationRio Grande Valley DepartmentSchool of Medicine/ Revenue… more
- Carle (Urbana, IL)
- Cancer Services Specialist (Carle Cancer Institute) + Department: Cancer Institute - CPG_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin ... Summary: The Cancer Services Specialists is responsible for all the pre- authorizations and insurance inquiries within the cancer center. Understands payment denials… more
- University of Michigan (Ann Arbor, MI)
- … is responsible for facilitating and successfully procuring outpatient insurance authorizations . The Authorization Specialist will be accountable to one ... Outpatient Authorization Specialist Apply Now **Summary** The Authorization Specialist...customers and patients promptly and thoroughly. + Obtain retro authorizations on billed and rejected claims and… more
- Carle (Urbana, IL)
- … medical necessity detail, and other criteria surrounding such authorizations .* Seeks assistance when required for clinical expertise with insurance verification ... Prior Authorization Specialist - CPKH Pain Mgmt Center + Department: Pain...advocates to resolve issues that arise during the prior authorizations process. Qualifications: EDUCATIONAL REQUIREMENTS HS Diploma/GED ADDITIONAL REQUIREMENTS… more
- TEKsystems (Waco, TX)
- …companies and payors to support our clients. If you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, ... computer software for revenue cycle activities including eligibility verifications, pre- authorizations , medical necessity, review/updating of patient accounts,… more
