- Mount Sinai Health System (New York, NY)
- …ongoing performance. * Drive the revenue cycle processes for bundle payment operations including claims processing, payment receipt, and payment distribution in ... improve the status quo We are looking for a **Product Commercialization Associate - Operations Associate** to join our Team, focused on delivering a great value and… more
- 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
- Corewell Health (Caledonia, MI)
- Job Summary Responsible for submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare ... companies to ensure timely and accurate reimbursement. Essential Functions + Submit claims electronically or by mail to insurance companies, government agencies, or… 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
- Robert Half Finance & Accounting (Minnetonka, MN)
- …regarding balances and insurance coverage by phone. * Collaborate with Claims and Eligibility Specialists to provide patients with accurate information related ... determine collection actions. * File appeals for denied or rejected insurance claims to ensure proper reimbursement. * Conduct follow-ups on outstanding claims… 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