- Trinity Health (Livonia, MI)
- …HIM and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims , denial and appeals issues affecting reimbursement. Maintains CEUs as ... resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: +… more
- MyFlorida (Panama City, FL)
- …AND SOCIAL SERVICE SPECIALISTS, ALL OTHER JOB CODE: 21-1099-03 CMU Eligibility Specialist Supervisor - SES This position is a regional position located between ... responsibility was determining eligibility, conducting interviews, providing counseling, recruiting, billing , or collecting accounts, checking credit, processing insurance policies… more
- Providence (Burbank, CA)
- **Description** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, processes ... upon hire. + 3 years of Experience in health care or pharmacy billing , collections or medical claims processing. **Preferred qualifications:** + Bachelor's… more
- Highmark Health (Helena, MT)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- The Institute for Family Health (New Paltz, NY)
- …related to revenue cycle including, but not limited to, registration, billing , collections, payment processing, and various reporting functions. This role shall ... position must meet the requirements of a Revenue Cycle Specialist II. The Revenue Cycle Liaison reports to the...reports monthly activity as required Shall work to resolve claims issues for assigned accounts receivable Shall develop, analyze… more
- Travelers Insurance Company (Edison, NJ)
- …**Target Openings** 1 **What Is the Opportunity?** The Computer Forensic Claim Specialist , Bond & Specialty Insurance, works in partnership with Claim Professionals ... understand and triage exposures presented by incident response, restoration, and betterment claims activities, especially complex claims that have a potential… more
- AAA Northern California, Nevada & Utah (Walnut Creek, CA)
- …track and log all documentation received from vendors for Leave, ADA & WC Claims . Provide Team Members with necessary communication to explain the process under the ... Partners with the third party administrators, to ensure that all leaves/WC claims are accurately administered, coordinates the ADA process; verifies eligibility and… more
- Access Dubuque (Dubuque, IA)
- …Maintain HRIS and related systems, handle data entry, scheduling, reporting, billing , and explore opportunities for automation and process improvements + Coordinate ... EOE Primary Contact 13485 Angie Siegert Senior Recruiting and Onboarding Specialist , Human Resources ###x1416 Phone Phone Phone Fax ###@honkamp.com Email True… more
- Molina Healthcare (Ann Arbor, MI)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …& technology: Enrollment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Billing & Payment, Member, ... We are seeking an enthusiastic, results-oriented Enterprise Sr. Business Analyst/Product Specialist in the healthcare payer domain of Health Plan administration of… more