- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible...18 months of hire, unless existing Certified Professional Coder ( CPC ) is held. + Experience with paper and electronic… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, ... Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding… more
- Guthrie (Sayre, 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
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... Description :** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …Full-time Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services ... Billing and Coding Certificate or Degree in field, Certified Professional Coder ( CPC ), Nationally Registered Certified Coding Specialist (NRCCS) or Registered… more
- Trinity Health (Livonia, MI)
- …AHIMA, AAPC, or equivalent certification required, eg, Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), Registered Health Information ... in the program, services & applications. Trinity Health Senior Coding Compliance Specialist Assists management in conducting annual, periodic and project level risk… 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
- Robert Half Accountemps (Dallas, TX)
- …role is critical for ensuring accurate claim submission, timely payment posting, and resolution of billing issues, helping to maintain the financial health of the ... Responsibilities: + Insurance Claim Submission: Prepare and submit accurate claims to insurance companies electronically using eClinicalWorks (ECW) (Source: SG25… more
- Department of State - Agency Wide (Charleston, SC)
- …position is located within the Bureau of Consular Affairs, Charleston Passport Center (CA/PPT/ CPC ). CA is responsible for the welfare and protection of US citizens ... of operations across all functional lines. Serves as an authority on resolution of highly complex citizenship cases and unique adjudication problems referred by… 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
- 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
- Ellis Medicine (Schenectady, NY)
- …Requirements: High School Diploma or Equivalent required. Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), Registered Health Information ... 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
- 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
- University of Rochester (Rochester, NY)
- …coding guidelines. - Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... issues to providers, department, and/or designated leader for follow up and resolution . - Consults with internal customers and external vendors to obtain greater… more
- University of Rochester (Rochester, NY)
- …Coding Specialist (CCS) preferred or + Certified Professional Coder ( CPC ) from American Academy of Professional Coders (AAPC) or Certified Medical Coder ... guidelines. + Reviews and resolves coding denials. + Resolves problems with claims having errors related to improper coding and provides feedback for correction… more
- Trinity Health (Syracuse, NY)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denials and appeals issues affecting reimbursement. Exhibits awareness of health ... or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate. Utilizes EMR communication tools to track missing… more
- University of Rochester (Albany, NY)
- …Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred + Certified Professional Coder ( CPC ) from ... for system edit reviews and follows up on insurance coding denials for resolution . **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to… more
- Highmark Health (Oklahoma City, OK)
- …of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information into ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (… more
- Texas Health Resources (Arlington, TX)
- …Years Managing a team or as a lead **preferred** **Licenses and Certifications** CPC - Certified Professional Coder Upon Hire **REQUIRED or** CCS-P - Certified ... Coding Specialist - Physician-based Upon Hire **REQUIRED and** Other Advanced...Excellent communication (verbal and written) and interpersonal and conflict resolution skills. . Comfortable speaking in front of groups… more