- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH -...terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows… more
- Molina Healthcare (FL)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Insight Global (Pleasanton, CA)
- …with Medicare regulations and supports the clinic's financial health through timely claims processing , payment posting, denial management, and collaboration with ... Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the… more
- Mass Markets (ID)
- …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Northern Light Health (Portland, ME)
- …ongoing education of hospital and medical personnel related to risk prevention and claims management. The Risk Management Specialist will participate in patient ... 8:00 AM to 4:30 PM Summary: The Risk Management Specialist works under the general supervision of the Director...development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will assist the Director in… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned. + Keeps ... CT)** The primary function of the Patient Accounting Billing Specialist I is the daily management of an assigned...accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...and help foster an environment where continuous improvement in business processes and services is welcomed and recognized to… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- TEKsystems (Delavan, WI)
- About the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role is responsible for managing and ... resolving claims submitted by customers, transportation, and credit departments. Using...+ Build strong cross-functional relationships with credit, transportation, order processing , and shipping teams. + Perform other duties as… more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- …LTC Specialist will report directly to the respective Area Business Lead coordinating with other local Neuroscience Specialists and cross functional colleagues ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more