- Henry Ford Health System (Detroit, MI)
- …codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information ... from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data… more
- Option Care Health (Madison, WI)
- …best and brightest talent in healthcare. **Job Description Summary:** This position is a remote role; however, we are ONLY looking to hire individuals who reside in ... parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient-benefit- specialist -- remote ... **Job Summary:** Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. **Responsibilities** **Job… more
- Spectrum Billing Solutions (Skokie, IL)
- …Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing Specialist | Revenue Cycle AR Collections ... in gaining knowledge and new skills. This is a remote or hybrid in-office/ remote role. Your Responsibilities:... Specialist | Billing and Reimbursement Specialist | Billing Specialist |… more
- Insight Global (San Antonio, TX)
- …clearly with team members and leadership Collaborate with internal stakeholders on billing strategy We are a company committed to creating diverse and inclusive ... environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Organization:** PB Insurance Collections **Job Summary:** JOB SUMMARY Coordinates the billing and follow-up process between the organization, payers and patients ... with minimal guidance. Recognizes, researches, reconciles, and reports appropriate corrective action plans on trends related to patient account inquiries and payer denials. . KEY RESPONSIBILITIES * Processes claims, payments, adjustments, refunds, denials, and… more
- AdventHealth (Orlando, FL)
- …experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to demonstrate ... leadership within the coding section, mentoring others and assisting management in maintaining excellence in coding. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to… more
- Northwell Health (Melville, NY)
- …site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. ... Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay. Ensures compliance with… more
- Option Care Health (Tallahassee, FL)
- …**Travel Requirements** Not Applicable **Preferred Qualifications & Interests** Healthcare/medical billing experience preferred. May perform other duties as assigned ... Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is… more
- Molina Healthcare (Cincinnati, OH)
- …coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete ... the contract profile. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Participates in other contracting related special projects as… more