- Stanford Health Care (Palo Alto, CA)
- …+ Attends Pharmacy Management meetings to communicate issues with billings, charges, and claims . + Leads various billing steering committees and other large ... **This is a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor ... JOB SUMMARY: Under the direction of the Manager, Professional Billing & Coding, the Billing & Collections...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- US Physical Therapy (Twin Falls, ID)
- …coordination across departments. **Qualifications** + 1+ years of experience in medical billing , insurance claims , or revenue cycle management (healthcare or ... career and impact your community. **Job Description** + Submit claims to payers electronically and monitor for timely receipt....issues. + Work closely with clinical, front office, and billing teams to ensure accurate patient data and seamless… more
- Children's Hospital Los Angeles (Glendale, CA)
- …Collections required, including insurance and government payers. Previous experience with facility claims for inpatient and or outpatient billing for commercial ... and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical coding (such as ICD-10, CPT) is essential.… more
- Stony Brook University (East Setauket, NY)
- …position will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...issues. + Process appeals. + Liaise with third party billing and collection agencies. + Identify issues and patterns… more
- Lyric (Newtown Square, PA)
- …Lyric's claims editing concepts + Translate complex coding and billing concepts into clear, actionable guidance for diverse client audiences (Medical Directors, ... claims edit/denial management + 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional… more
- WesleyLife (Johnston, IA)
- … across all WesleyLife branches, ensuring accurate and timely submission of claims . + Stay updated on Medicare/Skilled billing regulations and implement ... rewarding work environment. **A Typical Day for a Medical Billing Specialist at our Network Support Center:** + Manage...+ Update HCPC and RUG rates, PDPM and maintain billing software tables. + Coordinate with Office Managers, Therapy… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …within the Revenue Cycle Center to address coding issues related to professional billing claims . The incumbent is responsible for reviewing provider charges to ... SUMMARY: Under the general direction of the Supervisor, Professional Billing & Coding and Director, Professional Billing ...payer websites to provide up-to-date information to coding & billing staff, as well as providers. The incumbent will… more
- PRGX (Bentonville, AR)
- …Produces claims using appropriate audit concepts for writing claims , updating claims management system, and billing claims to client. + Provides ... with claim back-up information. May contact vendors for pre-approvals. + Packages claims for vendor and/or client. + Conducts buyer, contract and document pulls… more
- Levi, Ray & Shoup, Inc. (Springfield, IL)
- …experience: + 7+ years of experience with Guidewire Administration Systems (Policy, Billing , or Claims ). + Demonstrated technical leadership experience in ... mentoring other engineers. + In depth knowledge of Guidewire policy center, billing center and Claims Center + Must have a Guidewire Cloud Certification + Proven… more
- US Physical Therapy (Houston, TX)
- …acumen to join our expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural ... including prior balances. **Responsibilities:** + Work closely with patients to resolve billing and payment issues. + Research and resolve discrepancies in patient… more
- Morley (Madison, WI)
- …as some queues are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance industry ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …systems is required\. + Demonstrated knowledge of contracts, products, networks, underwriting, billing , claims processing procedures and use of a broker ... with and coordinating the efforts of key underwriting, administration, loss control and claims staff in support of one or more major clients\. + Maintaining a… more
- RVO Health (Minneapolis, MN)
- …performance. + Ensures effective management of quality control, data entry, patient billing and claims processing. + Oversee compliance with regulatory ... + Lead and mentor a team of revenue cycle specialists to optimize billing , coding, and collections processes. + Collaborate with cross-functional teams to ensure… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- US Physical Therapy (Salem, OR)
- …resume to ###@ptnorthwest.com . **Job Description** PT Northwest is looking for a ** Billing Coordinator** , where you'll play a vital role in ensuring smooth ... clinics. + Answer incoming calls and assist patients with billing inquiries + Post payments and manage daily charge...payments and manage daily charge audits + Bill insurance claims and send patient statements + Handle accounts receivable… more
- Centers for Independence (Milwaukee, WI)
- ** Billing Specialist II** **Job Details** **Job Location** CFI Main Campus - Milwaukee, WI **Position Type** Full Time **Education Level** High School Diploma, HSED, ... Equiva **Travel Percentage** None **Job Category** Finance **Description** **Job Purpose** : The Billing Specialist II is responsible for all facets of billing … more
- Children's Hospital Los Angeles (Glendale, CA)
- …4 days remote **Purpose Statement/Position Summary:** The Medi-Cal Specialist is responsible for billing and collection of MediCal and CCS claims . Responds to ... denials, RTD's and resolves problems regarding billing and collection matters. Billing and Collections; Request and get approval on retro TARS through the local… more
- Caris Life Sciences (Irving, TX)
- …+ Submit Retros authorization + Work closely with insurance companies to resolve claims disputes. + Identifying and resolving billing errors and implementing ... The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …guidance, including the Anti-Kickback Statute, Stark Law, Beneficiary Inducement Rule, False Claims Act, EMTALA, and billing /reimbursement rules, as well as ... requirements relating to price transparency, privacy, information blocking/interoperability, state licensure and scope-of-practice, hospital accreditation, 340B, the Common Rule, research security, sponsored programs, and conflict of interest + Provide… more
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