- HUB International (Savannah, GA)
- …to resolve. + May also negotiate with underwriters and carriers. + Troubleshoots claims and billing issues. + Responsible for overall retention of accounts ... in assigned book of business. + Develops new business from existing accounts and assigned leads, and contributes to meeting departmental production goals. + Identifies and follows-up on cross-selling opportunities when appropriate. + Manages, organizes, and… more
- Sharp HealthCare (San Diego, CA)
- …Health Plan operational data sets including, but not limited to, eligibility, claims , provider, billing , capitation, financial and structural. The Systems ... Analyst-EDI Mgmt will work to streamline processes, create efficiencies and complete development within the file management space. **Required Qualifications** + HS Diploma or Equivalent + 2 Years experience in a health care and/or health plan organization. +… more
- HUB International (San Ramon, CA)
- …resolve service issues. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Identifies opportunities for cross-sell and ... up-sell of other HUB products and services when appropriate for the clients needs. Documents other insurance products and services the clients are purchasing through other providers and who those providers are. + Maintains accurate and organized account files… more
- Grant Thornton (Atlanta, GA)
- …related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing , and reimbursement, with a focus on ... enhancing financial performance and operational efficiency. + Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the… more
- University of Rochester (Rochester, NY)
- …denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain a detailed knowledge of billing requirements and ... and entry software) fax/scanner, Microsoft Word, Excel, Access, Email, third party claims systems (ePaces, Connex), Epic Billing System, and various payer… more
- Covenant Health Inc. (Knoxville, TN)
- …order to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + ... Performs research and analysis of CPT coding, modifiers and billing processes to ensure compliance with Medicare, Medicaid guidelines and other insurance payers and… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …/*License/Certifications:*/ Certification in one of the following: * EPIC Resolute Hospital Billing and Professional Billing Insurance Claims Follow-Up - ... in healthcare contract variance analysis, including an in-depth knowledge of healthcare claims processing -OR- * An approved equivalent combination of education and… more
- Fairview Health Services (St. Paul, MN)
- …and timely and accurate actions including preparing and submitting appropriate appeals or re- billing of claims to resolve coding denials to ensure collection of ... governmental regulations, protocols and third-party payer requirements pertaining to billing , coding, and documentation. The Inpatient Coding Denials Specialist will… more
- US Physical Therapy (Houston, TX)
- …acumen to join our expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural ... including prior balances. **Responsibilities:** + Work closely with patients to resolve billing and payment issues. + Research and resolve discrepancies in patient… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …a part-time Medical Coder to to assign procedure,diagnosis codes for insurance billing , review claims data, research and corresponds with insurance companies ... classification software to assign procedure and diagnosis codes for insurance billing . + Review claims data to ensure that assigned codes meet required legal and… more