- Sharp HealthCare (San Diego, CA)
- …teams. **What You Will Do** The Contracts Associate assists with the operations , negotiations and analyses of contracts, capitations and ongoing relationships with ... by negotiating Letters of Agreement with non-contracted providers; auditing IDX claims system to verify appropriate and correct reimbursement; liaison with … more
- Robert Half Accountemps (Fayetteville, NC)
- …this long-term contract role, you will play a vital part in managing billing operations and ensuring that all claims are processed accurately and efficiently. ... of a healthcare facility. Responsibilities: * Prepare, review, and submit medical claims to ensure accurate billing and timely reimbursement. * Verify patient… more
- Highmark Health (Harrisburg, PA)
- …data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse ... consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. 2. Develop management… more
- Midwood EMS (Brooklyn, NY)
- …maintaining medical records. This role is crucial in facilitating the financial operations of our Ambulance Billing Department while adhering to industry regulations ... with a strong focus on New York State Medicaid claims . Candidate must be able to work 5 days...+ Strong knowledge of medical billing processes and insurance claim submissions. + Familiarity with ICD-10 coding, DRG systems,… more
- MyFlorida (Largo, FL)
- …employment history must be verifiable. Your resume and any credentials you claim (degrees, certifications, etc.) must be attached to your application. *Other ... in medical billing (billing third-party health insurance) and processing electronic claims . + Experience in accounts receivables and collections. + Experience in… more
- HCA Healthcare (Nashville, TN)
- …local/divisional Case Management leadership and HCA's legal team to assess the validity of claims and assist in the pursuit of payment on unpaid and underpaid ... claims . Additionally, the Nurse Subject Matter Advisor will serve...education and guidance to help prevent recurrence of similar claim issues. Major Responsibilities: + Conducts comprehensive clinical record… more
- Defense Logistics Agency (Fort Belvoir, VA)
- …Services and Financial Management Services, and materials in support of DLA internal operations and to other federal agencies. This position reports to the Chief, ... including advising on contract modifications, disputes, requests for equitable adjustment, claims , and termination actions. Assists the Department of Justice in… more
- Northwest Florida Community Hospital (Chipley, FL)
- …ICD-10 requirements, UB/1500 claim submission data and elements required for clean claim submissions. + Manages billing operations that cover all aspects of ... processes occur. + Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under… more
- HUB International (Chicago, IL)
- …revenue-producing accounts, all of which have a significant impact on the business operations of the client and on HUB. + Utilizing industry experience and in-depth ... knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and discretionary judgment to make… more
- Defense Health Agency (Camp Lejeune, NC)
- …result in litigation as they arise to document factual data to deter potential claims . Interprets and applies law and policy for the release or denial of requested ... and any other tort litigation, to include investigation, support for claims adjudication, and federal court litigation. Responsible for the supervision and… more
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