- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding...made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist… more
- Elevance Health (San Juan, PR)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... Included are processes related to enrollment and billing and claims processing, as well as customer service written and...but are not limited to: + Assists higher level auditor /lead on field work as assigned, including performing special… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …position must be willing and able to 1) review and process grantee monthly claims ; 2) pay approved invoices; 3) reconcile daily warrant or check registers; 4) update ... are followed; 8) perform site visits; 9) process and pay victim compensation claims ; and 10) complete other duties as assigned by management. Requirements &… more
- The County of Los Angeles (Los Angeles, CA)
- …permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more
- The City of Rochester, MN (Rochester, MN)
- …Term Appointment This position anticipated to last 18 - 24 months to support the City of Rochester's implementation of a new Enterprise Recourse Planning software. ... in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as… more
- The County of Los Angeles (Los Angeles, CA)
- …requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more
- Jack Henry & Associates (Allen, TX)
- …and other third-party assessments, ensuring accountability and resolution. + Remediation Support + Proactively monitor and track Complementary Solutions Threat & ... aggressive deadlines. + Certification such as Certified Information Systems Auditor (CISA), Certified Information Systems Security Professional (CISSP), Certified… more
- Houston Methodist (Houston, TX)
- …is captured accurately. + Performs/Leads performance improvement activities that support operational efficiencies, data integrity and service quality including ... training program budget. + Where applicable assists with pre-billed claim edits to ensure complaint coding, charting and billing....for best practices. + Strives to improve and enhance support to the Hospital and System and seeks opportunities… more
- State of Indiana (Indianapolis, IN)
- …is responsible for following up with insurance companies to obtain claim information, sending documentation to driver/owners of non-insured parties, and sending ... that utilizes Indiana's highway transportation system. The collection of the funds support INDOT's budget required to repair the damage caused by the accident.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Participate in departmental meetings, provider onboarding sessions, and compliance training. + Support revenue cycle teams in addressing claim denials, coding ... COBGC (Certified OB/GYN Coder) preferred. + CPMA (Certified Professional Medical Auditor ) or CDEO (Certified Documentation Expert - Outpatient) a plus. Experience:… more