- Aston Carter (Salem, OR)
- …data manipulation and use of data analysis tools. + In-depth understanding of claims processing, clinical edits, fee schedules, and payer contracts. + Proficient in ... improvement projects within a medical coding environment. + Understanding of EHR, Claims Adjudication Systems, Revenue Cycle concepts, and data mining tools. Work… more
- Freeport-McMoRan (Safford, AZ)
- …company, including interacting with workers' compensation insurers, monitoring claims , developing and administering loss prevention and rehabilitation ... management/monitoring programs, maintain files, and provide necessary support in defense of claims . + Perform other duties as required. **What You Bring To… more
- Omaha Children's Hospital (Omaha, NE)
- …well-written appeals. **Essential Functions** + Follow up on insurance or government claims to research and resolve unpaid claim and denials in follow-up work ... reasoning based on EOBs, medical records, and payer specific requirements. Resubmit claims with necessary information and medical records when requested by payer… more
- Stryker (San Jose, CA)
- …to business objectives, market potential, and competitive benchmarks. + **Clinical & Claims Support:** Partner with Clinical Affairs to support clinical claims ... through trials, research grants, and cost-benefit analyses for visualization platforms. **What you need** _Required:_ + Bachelor's degree + Minimum 8 years of professional experience _Preferred:_ + Experience in medical device marketing, new product… more
- University of Miami (Miami, FL)
- …Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support ... Hospital Billing Expected Reimbursement Contracts Administration, Resolute Hospital Billing Claims , and Electronic Remittance Administration) preferred. + Strong understanding… more
- University of Virginia (Charlottesville, VA)
- …peer and other review activities. + Prepare and attend to all reports, claims , and correspondence necessary or appropriate to the performance of the professional ... (ABN) and other payor requirements necessary to ensure the timely payment of claims . + Participates in activities that contribute to the education of other health… more
- Point32Health (Canton, MA)
- …troubleshooting, capability building and ad hoc requests of monthly provider claims files, including communication with external stakeholders + Support the ... visualization tool development experience preferred + Experience with health insurance claims data preferred + Demonstrated ability to manage tasks independently,… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please… more
- CVS Health (Columbus, OH)
- …or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares ... verbal and written communication skills. + The ability to understand and analyze health care claims and coding + Ability to travel up to 10% (approx. 2-3x per year,… more
- TEKsystems (Oakland, CA)
- …projects and community outreach. + Attend stakeholder meetings and report on liability claims . + Perform other duties as assigned. Required Skills & Qualifications + ... and support monthly meetings with stakeholders. * Report on all liability claims . * Responsible for overseeing internal accounting for non-transit o New digital… more