- Strategic Systems Programs Office (Washington Navy Yard, DC)
- …reviews. You will Directs, leads and manages development of complex system safety development activities, including management of technical performance and funding. ... You will be a subject matter Works closely Conventional and Nuclear weapon system safety staff, to ensure continuing alignment of the SSP Safety program. expert in… more
- Mille Lacs Health System (Onamia, MN)
- …Services and Clinical Care * Help patients navigate the complex healthcare system , ensuring they understand their rights, assisting with insurance claims , ... with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be… more
- Nuvance Health (Danbury, CT)
- …practices and regulatory guidelines. Experience working with revenue cycle information systems or system implementation teams for complex projects, application ... the CDM and the interface of charges into the system and the linking of charges and services to...the CDM and the pricing maintenance in the Cerner systems and audits the charges after interfacing them in… more
- Molina Healthcare (WI)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... + Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. + Resolves and… more
- Sedgwick (Dayton, OH)
- …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and… more
- Henry Ford Health System (Southfield, MI)
- …health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstracts pertinent information from patient records. Assigns ... Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or… more
- Henry Ford Health System (Farmington Hills, MI)
- …patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: + Abstracts pertinent information from patient records. ... Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or… more
- Henry Ford Health System (Troy, MI)
- …Works collaboratively with Revenue Integrity staff to identify charge system weakness, recommends changes, provide education, and tracks utilization. Due ... (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related to rules/coverage. +… more
- Henry Ford Health System (Troy, MI)
- …Works collaboratively with Revenue Integrity staff to identify charge system weakness, recommends process improvement and other changes provides education, ... (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related to rules/coverage. +… more
- Guthrie (Binghamton, NY)
- …related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. Assesses and coordinates discharge planning needs with ... healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations The pay range for this position… more