- Molina Healthcare (NE)
- …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Molina Healthcare (Grand Island, NE)
- …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form). * Advanced understanding of key ... executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- Catholic Health Initiatives (Omaha, NE)
- …reasoning based on EOBs, reimbursement, and payer specific requirements. + Review patient medical record to compare documentation and coding ; change coding ... payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The… more
- Fresenius Medical Center (Grand Island, NE)
- …leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee ... of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department.… more
- Molina Healthcare (NE)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted...EXPERIENCE, SKILLS & ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations… more
- Humana (Lincoln, NE)
- …Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ... interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- Cardinal Health (Lincoln, NE)
- …Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily ... and obtained. + Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay.… more
- Cardinal Health (Lincoln, NE)
- …Administration, Business, or related field preferred + 5+ years of experience in medical billing and insurance follow-up, with 2+ years in a leadership ... performance evaluations for AR follow-up staff. + Coordinate with billing , coding , and other departments to address...or supervisory role preferred. + Strong understanding of medical billing practices, payer guidelines, and reimbursement… more
- Cardinal Health (Lincoln, NE)
- …for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within ... payer-specific guidelines and timelines. + Coordinate with other billing team members, coders, and providers to resolve claim discrepancies. + Maintain up-to-date… more
- CVS Health (Lincoln, NE)
- …Degree in business/health administration preferred. + 2-3 project management background. + Medical billing and coding certification. **Education** + College ... The analyst will also support financial operations through invoice tracking and coding validation, contributing to accurate and timely billing processes. This… more
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