- Molina Healthcare (Cedar Rapids, IA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Norstella (Des Moines, IA)
- …4+ years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) * Advanced ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...* Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- Norstella (Des Moines, IA)
- …years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more
- Walgreens (Davenport, IA)
- …technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing , clinical documentation, training, inventory management, and point of ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- CVS Health (Des Moines, IA)
- …fraud waste and abuse business rules and leads designed to detect aberrant billing patterns and reviewing incoming referrals and leads to determine if additional ... Conduct proactive data mining and analysis if needed to identify suspicious billing patterns. **Required Qualifications** + 3-5 years of data interpretation and… more
- Cardinal Health (Des Moines, IA)
- …and documenting it in the patient medical record. + Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ... ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintains detailed notes in patients' electronic… more
- Care Initiatives (Waterloo, IA)
- …business office functions, including Accounts Receivable (AR), Accounts Payable (AP), resident billing , Medicare/Medicaid , and insurance claims . + Maintain ... a collaborative work environment. What You'll Need to Succeed: + Experience with billing and collections in a healthcare or long-term care setting. + Familiarity… more
- Fresenius Medical Center (Sioux City, IA)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the...ensure the correct insurance information is entered into the billing system and that other changes are not overlooked.… more
- Cognizant (Des Moines, IA)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. .… more
- Elevance Health (Carroll, IA)
- …analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. + May participation in Joint Operation ... medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , pricing… more