- Intermountain Health (Lafayette, CO)
- …+ Healthcare Regulations **Qualifications** + High School diploma or equivalent is required. Associate 's level degree or higher is preferred . Degree must be ... arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigate and resolve billing/insurance/ claims … more
- CareFirst (Baltimore, MD)
- …+ Oversees the end-to-end process of the billing vendors and dispute resolution claim submission and payment requests. This includes the maintenance of the NSA ... tracking database and claims resolution from start to finish. Monitors claims...experience in a regulatory, compliance or customer service role. ** Preferred Qualifications:** + Demonstrated experience with Excel, SalesForce, and… more
- Banner Health (OK)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... and receive care. In this **Inpatient Facility/HIMS Certified Medical Coder, Quality Associate ** position, you bring your **5 years of acute care inpatient coding… more
- Community Health Systems (Franklin, TN)
- …for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government ... all policies and standards. **Qualifications** + HS Diploma or GED required + Associate Degree in Business, Finance, Healthcare Administration, or a related field … more
- Community Health Systems (Franklin, TN)
- …or GED required + Associate Degree or higher in Health Information Management preferred + 1-3 years of experience in medical billing, revenue cycle, or claims ... issue resolution, and help identify trends that can improve claim outcomes. As a Denial Appeals Coordinator at Community...Certifications** + Certified Revenue Cycle Specialist (CRCS) - AAHAM preferred We know it's not just about finding a… more
- State of Colorado (Denver, CO)
- …to assure timely and accurate Medicaid and Child Health Plan Plus (CHP+) claims processing. The unit collaborates with the benefit managers to implement policies. ... various state and federal audits of the MMIS and claims reimbursement, provider enrollment, provider relations and medical benefit...programs and training for provider types and their associated claim types. Duties include, but are not limited to:… more
- Molina Healthcare (Mesa, AZ)
- …and/or Customer Service experience in a fast paced, high volume environment ** PREFERRED EDUCATION** : Associate 's Degree or equivalent combination of education ... and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally...and experience ** PREFERRED EXPERIENCE** : + 1-3 years + … more
- Marshfield Clinic (Marshfield, WI)
- …Post High school courses in computer programming or software applications. ** Preferred /Optional:** Associate degree in business administration, computer sciences ... required. Knowledge of Wisconsin pharmacy law and third-party reimbursement rules. ** Preferred /Optional:** Three years' experience in pharmacy claims processing.… more
- Sedgwick (Baltimore, MD)
- …university preferred . One or more of the following professional certifications is preferred : Graduate Safety or Associate Safety Professional (GSP or CSP), ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...with public entities, insurance, or risk pooling is highly preferred . **TAKING CARE OF YOU** + Flexible work schedule.… more
- Omaha Children's Hospital (Omaha, NE)
- …* Review and analyze claims and perform appropriate action for claim resolution. **Education Qualifications** + Associate 's Degree from an accredited college ... **A Brief Overview** Analyzes system and payer issues that hinder claim processing and reimbursement. Coordinates with the Manager/Supervisor to research and… more
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