- Elevance Health (Norfolk, VA)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Molina Healthcare (Kearney, NE)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Children's Hospital Los Angeles (Glendale, CA)
- …Collections required, including insurance and government payers. Previous experience with facility claims for inpatient and or outpatient billing for commercial ... and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical coding (such as ICD-10, CPT) is essential.… more
- AnMed Health (Anderson, SC)
- …Care, rules, and regulations governing billing compliance. + Maintains provider billing information so claims can be successfully processed and transmitted ... thrive, lead, and make a meaningful impact here. Responsible for handling billing for physician services, filing insurance, posting payments, and bank deposits. Acts… more
- HTC Global Services Inc (Troy, MI)
- …and other key billing functions. + Experience integrating Duck Creek Billing with policy, claims , finance, and third-party systems. + Familiarity with ... perks. We are looking for an experienced Duck Creek Billing SME to lead the design, implementation, and enhancement...SME to lead the design, implementation, and enhancement of billing solutions within our insurance technology landscape. This role… more
- WestCare Foundation (Elkhorn City, KY)
- …identify the reasons for denial, and take appropriate action to correct and resubmit claims . + Billing Audits: Perform regular audits of patient accounts to ... Claim Preparation & Submission: Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers. + Charge Entry:… more
- Bitterroot Health (Hamilton, MT)
- …companies, federal agencies and third party payers to ensure accurate and timely billing of all claims . Minimum Qualifications: + Education: High School Diploma, ... for you. Discover the rewarding career you deserve-apply today! Medical Billing Specialist opportunity in beautiful Hamilton, Montana!! Bitterroot Health is seeking… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …Salesforce FSC. * Build automated testing solutions to validate large volumes of policy, claims , billing , and customer data in real time. * Leverage tools such ... * Serve as the data quality advocate across the personal lines business-underwriting, claims , billing , and customer service. * Strong knowledge of Insurance… more
- Elevance Health (Seattle, WA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …+ Record deposits daily and create cash accounts receivable records in claims billing software, ensuring that transactions are processed with 100% ... accuracy. + Process client refund checks using claims billing software. + Send clients fund requests daily. + Collaborate with the Posting Department in… more