- SUNY Westchester Community College (Yonkers, NY)
- …medical coder/biller, medical biller/customer service representative, medical records clerk/assistant, and insurance claims clerk. The incumbent will also: + ... students' progress and provide constructive feedback to students and Program Administrator . + Foster an inclusive, supportive learning environment that addresses the… more
- Rush University Medical Center (Chicago, IL)
- …Coding Specialist- Physician Based (CCS-P) * Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification in ... working in a Teaching Hospital setting. * Prior experience with billing and claims processing. * Prior experience working in a hospital or clinical setting. *… more
- University of Rochester (Rochester, NY)
- …rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding ... reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves… more
- AmeriHealth Caritas (Philadelphia, PA)
- …performance for a remote team of 15 Appeals & Grievance Specialists, Administrator , and Team Leads supporting our Pennsylvania Medicaid business. This role ensures ... and compliance indicators + **Cross-Functional Collaboration** + Coordinate with Claims , Utilization Management, Member Services, Legal, and Compliance to ensure… more
- Unum Group (Dunwoody, GA)
- …all platforms/clients for one customer value stream (eg Policyholder, Plan Administrator and Field/Broker)/Business Delivery Highway (BDH). They are accountable for ... (eg Global Services (IT), members of the sales organization, administration, marketing, claims and underwriting) in ensuring the design and development of our… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …accurate, and efficient servicing of all Broker, Member, and Employer Group Administrator inquiries. Inquiries may be via telephone, email, written inquiries, and ... possible. Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments… more
- Integra Partners (Troy, MI)
- …The Quality Assurance Analyst will fairly and consistently review the calls, emails, claims , etc. of our team for accuracy and provide coaching for success in ... program + 401(k) retirement program with company match + Company-paid life insurance + Company-paid short term disability coverage (location restrictions may apply)… more
- Kelly Services (Temple, TX)
- …and Reporting-VIRR) for documentation clarification. + Collaborate with clinicians and claims staff regarding coding and billing issues. + Maintain an accuracy ... Certified Coding Specialist ( **CCS** or **CCS-P** ) + Registered Health Information Administrator ( **RHIA** ) + Certified Professional Coder ( **CPC** ) +… more
- Huron Consulting Group (Chicago, IL)
- …appropriate, and corrective action is initiated before the claim is rebilled to the insurance . + Conduct analysis and present summary of findings to leadership in a ... Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. + Identifies, and attempts… more
- Integra Partners (Troy, MI)
- …and HCPCS codes + Verify eligibility and claim history in proprietary claims platform + Verify all necessary documentation has been submitted with authorization ... program + 401(k) retirement program with company match + Company-paid life insurance + Company-paid short term disability coverage (location restrictions may apply)… more
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