- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department… more
- Trinity Health (Livonia, MI)
- …codes and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes. Uses encoder software and coding abstracting ... system edit features to resolve edits prior to completing coding. Interprets, researches and resolves claim edits that occur after coding to support timely final … more
- Ventura County (Ventura, CA)
- …and/or Commercial Insurance billing. + Experience with multiple Electronic Health Record (EHR) systems , such as Cerner, HURON, and/or Claim Source to follow up ... general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… more
- Henry Ford Health System (Detroit, MI)
- …Specialist confirms the accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding Senior Specialist works independently ... a multi-disciplinary team with the objective of sending out clean quality claims and working and preventing denials. EDUCATION/EXPERIENCE REQUIRED: + High school… more
- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
- Insight Global (Nashville, TN)
- …Healthcare Start-Up based out of Nashville, TN who is looking for a Business Systems Analyst. This individual can sit remotely and requires to have strong experience ... Hands-on data integration experience with CMS and/or Payer data feeds, including Medical Claims , Eligibility, Rx Claims , Provider, MMR, and Quality Care Gap… more
- The County of Los Angeles (Los Angeles, CA)
- …government agencies or private contractors. + Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from ... for their implementation. + Conducts cost surveys, revenue analyses, and accounting systems and procedural studies, and writes reports of findings. + Compiles,… more
- Highmark Health (Montpelier, VT)
- …performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system ... of applications he/she supports, how users use the application, and what other systems integrate with the application. Understands how work is being conducted, and… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary ... (United States of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development,… more
- Sedgwick (Oklahoma City, OK)
- …criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more