- Elevance Health (Mason, OH)
- …ensure the precision of code assignment. + Researches, validates, and stays abreast of medical coding and billing issues, trends, and changes in regulations ... Word and Excel. + Experience in health insurance reimbursement, medical billing , medical coding...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- …position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing… more
- Highmark Health (Columbus, OH)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Premier Health (Moraine, OH)
- …up on submitted claims that are unpaid, rejected, or denied. The Medical Billing Specialist reports to the A/R Manager within the Centralized Billing ... Billing Office** **FT/ DAYS/ 80 hours per pay** **Summaryof Position** The Medical Billing Specialist works to ensure timely and accurate reimbursement on … more
- Fresenius Medical Center (Columbus, OH)
- …communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with ... as pertinent. **STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. +… more
- Molina Healthcare (Cincinnati, OH)
- …level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**… more
- Bon Secours Mercy Health (Springfield, OH)
- …in clinic procedures including schedule management, registration, use of electronic medical record, patient flow, billing and referrals and authorizations. ... including word-processing and spreadsheet applications and knowledge of electronic medical record and billing software applications. Excellent written… more
- Adecco US, Inc. (Columbus, OH)
- …expectation. 3. Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit ... top clients with their search for a Field Reimbursement Manager in the Columbus, OH area. This role is...Minimum of 8 years healthcare related reimbursement experience. Strong medical reimbursement experience with Buy & Bill and/or Specialty… more
- Adecco US, Inc. (Columbus, OH)
- …by the client. + **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay ... **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:**...high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or… more
- Adecco US, Inc. (Columbus, OH)
- …authorization, co-pay assistance, and appeals + Provide expert reimbursement support, including billing , coding , and claims assistance across Buy & Bill, ... a global healthcare company in recruiting for a remote Field Reimbursement Manager (FRM)** to support healthcare providers and patients in navigating reimbursement… more