- MultiPlan (Atlanta, GA)
- …healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by ... healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings… more
- MultiPlan (Atlanta, GA)
- …coding and pricing errors using accurate HCPCS, ICD-10, and CPT codes. 4. Lookup and review medical claims in payer system to determine methods of payment ... benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims … more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- …Office Outlook, Word and Excel* General knowledge of PC* Good working knowledge of medical claims systems* Knowledge of CPT/HCPCS and ICD9 coding procedures and ... on Medicaid rules and regulation established for final processing. * Resolves claims resolution and/or adjustments/voids. * Processes claim adjustments through… more
- Pyramid Consulting, Inc (Columbia, SC)
- Immediate need for a talented Claims Processor I . This is a 12+ Months contract opportunity with long-term potential and is located in Columbia South Carolina ... (Onsite) . Please review the job description below and contact me ASAP...benefits include, but are not limited to, health insurance ( medical , dental, vision), 401(k) plan, and paid sick leave… more
- Accounting Now (Pinellas Park, FL)
- …for ensuring accurate billing, timely submission of electronic and/or paper claims , monitoring claim status, researching rejections and denials, documenting ... SNI Companies is currently hiring for Medical Collectors in St Petersburg, Florida: Medical ...seems incomplete or is lacking for proper account / claim adjudicationResponsible for correcting, completing, and processing claims… more
- MultiPlan (Atlanta, GA)
- …Monitor, research, and summarize trends, coding practices, and regulatory changes. Research and review individual claims , claim trends or detailed itemized ... and other documentation as needed. Assist with, create or enhance internal claim and review recommendations. Communicate with co-workers and management regarding… more
- MRG Exams (Columbus, OH)
- …benefits process.The Veteran files the claim before they see you. All of their medical records are uploaded into a computer portal and you will be able to ... to decide the veteran's benefits.Audiologist will NOT prescribe any medical treatments or devices.This position will review ...any medical treatments or devices.This position will review and assess 3-6 Veterans per day on average.Schedule:… more
- MultiPlan (Atlanta, GA)
- …Apply national coding standards and regulations to claims billed. Research and review individual claims , claim trends or detailed itemized bills, ... are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar...for process efficiencies. Uses independent decision making skills to review claims after business hours to meet… more
- CornerStone Staffing (Waxahachie, TX)
- …Pay: Based on Experience Hours: Monday-Friday 8:00AM-5:00PM Responsibilities: The coder will review and analyze claims submitted to payers to ensure their ... Do you have medical coding experience? CornerStone Staffing is currently hiring...will identify errors, discrepancies, or missing information within the claims documentation, working closely with the revenue cycle staff… more
- Colorado Housing and Finance Authority (CO)
- …advanced to the sub-servicer for loans in loss mitigation, which includes partial claims and foreclosure claims . Monitor receipt of all loan modification ... Monitor and reply to Loan Service Tickets opened with the sub-servicer. Monthly review of the Tax/Insurance/Escrow payment increase report to identify if there are… more
- Merck & Co. (North Wales, PA)
- …inquiries, handling of escalated complex global HCP inquiries, and insight generation/analysis), Medical Review of US and HQ-created global Promotional Materials ... US and international congresses to verbally answer unsolicited inquiries from HCPs.Scientific/ Medical Review of US and Global Promotional and Non-Promotional… more
- US Tech Solutions, Inc. (Columbia, SC)
- …following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge ... indicated protocol sets or clinical guidelines. Provides support and review of medical claims and...families/caregivers. Reviews first level appeal and ensures utilization or claim review provides thorough documentation of each… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …including ICD-9/ICD10/CPT/HCSPCS and other third-party payer codes. CEQAs ensure the medical necessity of services, compliance with other documentation, coding and ... (3) years experience coding and/or auditing Multi-Specialty records required; Medical Terminology or Anatomy course required. Demonstrated experience in conducting… more
- Blanchard Valley Hospital (Findlay, OH)
- …The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review , enter and/or modify charges as appropriate, including review of clinical ... charge/modifier assignments, for designated clinical areas. JOB DUTIES/RESPONSIBILITIES Duty 1: Review , enter and/or modify charge on encounters to ensure accurate… more
- Sentara Health (Glen Allen, VA)
- …Familiarity with key Medicare and Medicaid managed care functions including claims , enrollment, and Medical Management Microsoft Office, SharePoint, Microsoft ... Familiarity with key Medicare and Medicaid managed care functions including claims , enrollment, and Medical Management Microsoft Office, SharePoint, Microsoft… more
- Creative Financial Staffing (Huntington, IN)
- …ensuring accurate and timely billing for our healthcare services. Responsibilities of the Medical Billing Specialist: Prepare and submit claims to Medicare and ... Medical Billing Specialist Job Description of the ...patient insurance coverage and eligibility for Medicare and Medicaid. Review and resolve billing discrepancies, denials, and rejections. Collaborate… more
- American Honda Motor Co Inc (Chino, CA)
- …cases involving death, injury, accidents, property damage, vehicle fires and compensation claims , in support of the Contact Center. The Supervisor will manage ... and understanding of TREAD reporting, general liability, and Level 1 claim handling.The Supervisor also forecasts, strategizes, and develops plans to accomplish… more
- Blanchard Valley Health System (Findlay, OH)
- …THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial notifications ... and writes appeals for denials associated with the payment of claims within the department/division. Maintains appropriate timeliness of appeals for denials.… more
- Middough Inc. (Downers Grove, IL)
- …before, during, and after the project is complete.If required, participate in claim support information development and claims analysis.Prepare reports and ... rates to be sure they are well understood and defendable to peer review .Maintain data of current labor, material, and equipment rates, cost escalation trends, and… more
- Staffing Now (Bedford, MA)
- …incoming returned mail from patients. Mail out claim documents daily. Attach medical records to claims . Review correspondence from patients and update ... insurance information. Must be detailed oriented more
