- Movn Health (Los Angeles, CA)
- …Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable ... executing timely appeals and follow-up strategies Aggressively manage A/R aging-identify unpaid claims and pursue payer follow-ups until resolution Generate and… more
- DocGo (Philadelphia, PA)
- …and implement best practices for quality improvement. Qualifications Certified Coding Specialist (CCS), Certified Professional Coder ( CPC ), or equivalent coding ... revenue cycle management processes. Ensure timely and accurate submission of coded claims to insurance companies and government payors. Monitor claim denials and… more
- Commonwealth Care Alliance (Boston, MA)
- …in Health Administration, Finance, or related field preferred. + Certified Professional Coder ( CPC ) - AAPC + Certified Claims Professional (CCP) + Other AHIMA ... 011250 CCA- Claims **_This position is available to remote employees...role is responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments,… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....the request based on business needs and requirements, provider resolution option based on financial ability and forecasting for… 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 ... We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the...be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and… more
- Guthrie (Towanda, PA)
- …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250...relevant experience + CPC Preferred + Training in computerized medical billing +… more
- Johns Hopkins University (Middle River, MD)
- … III_** to be **r** esponsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications ... payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy...and expertise using Epic Resolute for A/R functions and resolution of revenue cycle issues in an academic medicine… more
- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Arnot Health (Elmira, NY)
- …(LCDs, NCDs, NYS insurance laws, payer policies) + Assist in claim edit resolution to ensure compliant, clean claims are submitted + Maintain proficiency ... equivalent experience required. + AAPC CPC (not CPC -A) and/or AHIMA Certified Coding Specialist credential... (not CPC -A) and/or AHIMA Certified Coding Specialist credential required. HFMA Certified Revenue Cycle Representative (CRCR)… more
- Movn Health (CA)
- …Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable ... timely appeals and follow-up strategies + Aggressively manage A/R aging-identify unpaid claims and pursue payer follow-ups until resolution + Generate and… more
- OLV Human Services (Lackawanna, NY)
- …referral program Full Job Description Job Summary: The Billing & Accounts Receivable Specialist is responsible for billing claims , posting payments, and follow ... Join Our Team as a Billing & Accounts Receivable Specialist ! Are you a meticulous number-cruncher with a passion...agency. Essential Job Duties: + Review, scrub, and submit claims in a timely fashion + Address claim rejections,… more
- Southeast Health (Dothan, AL)
- …Summary Performs daily activities involved in the reimbursement process, ie claims filing/follow-up, entry of payments/adjustments, and follow-up on non-payment or ... payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution . Job Description Essential Functions + Works as part of a… more
- University of Virginia (Charlottesville, VA)
- …edits and follow-up work queues, identifies areas of opportunity based on findings/ resolution of errors. + Manages assigned charge review and coding-related claim ... for Business Services and physician office requests regarding non-billed or non-reimbursed claims . + Completes special projects as directed by coding leadership. +… more
- University of Rochester (Albany, NY)
- …include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, ... by effectively managing the assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert on team functions and… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of an Insurance Billing Specialist II as well as identifies, analyzes and takes the necessary action to submit complex ... in order to determine appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Specialist Full Time, 80 Hours per pay period, Day Shift C ovenant Health Overview: Covenant Health is the region's top-performing ... level professional internal analysis related to root cause and resolution of denials for corrective action. Work involves research...+ Reviews information from third party payers relative to claims , charging, coding, and billing in order to ensure… more
- Ellis Medicine (Schenectady, NY)
- …+ High School Diploma or Equivalent required. + Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), Registered Health Information Technician ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
- University of Washington (Seattle, WA)
- …Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder ( CPC ), Certified Inpatient ... Epic WQ turnaround times for coding error and edits resolution + Ensure input data are highest quality necessary...input data are highest quality necessary to produce claim claims and reduce denials + Facilitate mitigation of edits… more
- Billings Clinic (Billings, MT)
- …Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder ( CPC ) or Certified Coding Specialist (CCS) at hire Or an ... * Ensures data accuracy prior to billing interface and claims submission. (ie, discharge disposition, appropriate use of modifiers,...and to respond to questions and assist with problem resolution from level I coders. * Supervision of Others:… more
