- St. Luke's Health System (Boise, ID)
- …St. Luke's is truly a great place to work. **What You Can Expect:** The Billing / Recovery Specialist is responsible for providing support in the functional ... of the functional areas of Revenue Cycle listed below: Billing : The Billing Specialist is...* Understands insurance plan coverages, authorizations and limits. Insurance Recovery : The Insurance Recovery Specialist … more
- Molina Healthcare (Nampa, ID)
- …and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- Datavant (Boise, ID)
- …tools. The specialist serves as a key liaison between coding, billing , utilization review, case management, and payer relations to reduce denials and improve ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more