- Accounting Now (Pinellas Park, FL)
- SNI Companies is currently hiring for Medical Collectors in St Petersburg, Florida: Medical Collector The medical billing and collection specialist is ... responsible for ensuring accurate billing , timely submission of electronic and/or paper claims...Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess… more
- Creative Financial Staffing (Fresno, CA)
- …reimbursement Responsibilities of the Billing Specialist: Prepare and submit medical claims to insurance companies and government agencies. Respond to ... Qualifications for the Billing Specialist: At least 3-5 years of medical billing experience Ability to work independently Strong organizational skills Health… more
- Accounting Now (Tampa, FL)
- …hospital/physicianExperience in healthcare claims processing and proficiency with medical billing and remittance forms and processes, including 835 ... Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This… more
- Cambia Health Solutions, Inc (Boise, ID)
- …medical exception requests, prior authorization requests, reconsiderations, and appeals . Prepares reconsideration requests for Clinical Pharmacy Consultant review ... of (Regence HMO Oregon) resources, substance abuse, and erroneous and fraudulent billing practices. Investigates and organizes workflow for claims referred to… more
- Staffing Now (Hedwig Village, TX)
- …Coding with ICD-10Orthopedic/ Pain Management/Surgery experienceKnowledge of Electronic Medical Records, Collections, Payment Posting, Reimbursement, Billing , ... has partnered with a busy multi-specialty office looking for Medical Biller/Coder with minimum one year experience, to join...correctionsFollow up with the manager to make sure all claims are submitted in a timely mannerActively follow-up and… more
- Toyota Boshoku America, Inc (Erlanger, KY)
- …the benefits and retirement programs plan administrator.1Provide support for eligibility, claims , appeals , plan transactions, etc.2Understand and explain general ... TBA annual enrollment process.5Provide and send out proper documentation for medical support orders.6Assist with vendor billing .7Support monthly benefits… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... **POSITION PURPOSE** Work Remote Position (Pay Range: $16.4877-$24.7316) Performs day-to-day billing and follow-up activities within the revenue operations of an… more
- Providence (Irvine, CA)
- **Description** ** Claims Appeals Representative \*Remote * Candidates in AK, WA, MT, OR, CA or TX are encouraged to apply.** The Appeal and Grievance Specialist ... 3 years Patient Accounting experience in a physician office, acute hospital, or medical collections. + 3 years Billing collections, or denials management… more
- The Cigna Group (Nashville, TN)
- …areas of opportunities to department management and peers. . + Understand and investigate billing issues, claims and other plan benefit information. . + Assist ... **Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst** We... will include requests for decisions regarding denials of medical services as well as Part B drugs. The… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... payment variance services, outcomes and trends, eg, number and types of claims and dollars rejected/denied, billing errors, payer processing errors, potential… more
- Universal Health Services (Richmond, VA)
- …the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up on the clinical appeals performed ... Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist. The Appeals Specialist is responsible...relating to technical and clinical issues identified during the billing of claims + Works with HIM… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …terminology, and appeals processing and procedures. + Familiarity with computerized medical billing or claims adjudication systems. + Previous experience ... in investigating and resolving grievances, provider payment disputes and medical appeals submitted by our members and...or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of an assigned...services, outcomes and trends, eg, number and types of claims and dollars rejected/denied, billing errors, payer… more
- Randstad US (Dallas, TX)
- medical appeals and denials specialist. + dallas , texas...+ Medical Billing + ICD-10 + Medical Billing - Denials + Claims Processing ... deadlines. .Ability to research denials .Ability to compose and file appeals /reconsiderations .Managed care, Medicaid and Commercial follow-up .Familiar with a… more
- Universal Health Services (Bonham, TX)
- …the quality of care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing ... from a variety of resources including but not limited to hospital/physician billing systems, external contract/ claims management and work with departmental… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialty Coder II - Central ... Central Business Office and regulatory compliance policies and procedures governing medical records coding, insurance billing and reimbursement methodologies.… more
- Molina Healthcare (Albuquerque, NM)
- **Molina Healthcare** is hiring in **New Mexico** for several ** Billing & Claims , Tribal Liaisons** . These roles are specifically responsible for working with ... tribal entities regarding billing and claims support and resolution activities....issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and… more
- Robert Half Accountemps (Fort Wayne, IN)
- …healthcare sector. The primary duties of this position revolve around medical claims follow-up, medical billing , and interacting with doctor offices. ... policy of business casual attire * Apply knowledge of Medical Claims , Medical Billing..., Insurance Follow-up, Claim Denials, Denial Management, Insurance Denials, Medical Denials, Payer Denials, Medical Appeals… more
- Robert Half Office Team (Oakland, CA)
- …### Requirements QUALIFICATIONS: ICD-10: 2 years (Required) CPT Coding: 2 years (Required) Medical Billing : 2 years (Required) Minimum one year experience in ... AND RESPONSIBILITIES: . Handle Work Comp insurance & Commercial underpayments, correspondence, appeals , and aging. . Responsible for billing , collections and… more
- Beth Israel Lahey Health (Burlington, MA)
- …Office. 17. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 18. Completes projects and research as ... reviews, and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay… more
