- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental Insurance Companies. Primary Position ... Utilize tools, software and reports provided. + Perform all activities for billing , claim adjustment, account follow-up processes. + Complete payment review, working… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing -related certifications **Required Experience (must have):** + 3+ years in healthcare ... 011250 CCA- Claims **_This position is available to remote employees...and MassHealth requirements. + Maintain awareness of MassHealth transmittals, billing guides, and program updates to ensure adherence in… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations,… more
- Molina Healthcare (Kearney, NE)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Deloitte (Austin, TX)
- …who wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist you will have the ability to share new ideas and ... of Epic Steady State Support + Must have an active Epic Professional Billing Certification + Have excellent documentation and verbal skills + Willingness to work… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient ... Candidate will answer incoming phone calls from patients pertaining to billing , insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... **Description** Working under the general supervision of the Claims Director, provide an effective education program to...to advance the quality and production level of the Claims Department by developing and delivery claims … more
- Mount Sinai Health System (Elmhurst, NY)
- …governmental regulations, protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with ... any areas for improvement in documentation as related to compliance and billing . Query and/or meet with physicians regarding documentation and deficiencies. Review… more
- Queen's Health System (Honolulu, HI)
- …insurance balances are paid in a timely manner. * Performs accurate and timely billing of patient accounts in accordance with policies and procedures of The Queen's ... plans and other third party payor requirements, as assigned. * Ensures accurate claims submission to optimize revenue for the Medical Center, as assigned. * Responds… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals,… more