- Robert Half Office Team (Beaverton, OR)
- …per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route ... claims for advanced or clinical review, and assist in providing coordinated care. Requirements Ideal candidates will have at least one year of experience in a health-related setting, including knowledge of insurance plan benefits, regulations, care… more
- Liberty Healthcare Corporation (Annapolis, MD)
- …Service coordination + Case management + Utilization review + Prior authorizations + Claims reviews + Healthcare billing + Analyzing healthcare or human services ... disabilities + Heavy database usage + Reviewing and analyzing Medicaid claims + Analyzing actual services provided against contracted service levels and… more
- MyFlorida (St. Petersburg, FL)
- …activities report (EARS) in a timely manner. + Enter services and process billing claims . + Enters Services and tracking process for Directions Behavioral ... Health program, review clinical notes match claims and authorization. Knowledge, skills and abilities, including utilization of equipment, required for the position… more
- Two95 International Inc. (Omaha, NE)
- …- Good SQL skills. * Knowledge of healthcare insurance industry including Enrollment, Billing , Claims Processing, EDI required. * Candidate has to explain the ... * Medical Insurance processes such as: Providers processes, Enrollment processes & Claims * Regression test scenarios design and creation creation * Backend data… more
- Northwell Health (Lake Success, NY)
- …accounts for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in ... an account. Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments from third party insurance carriers and… more
- Cognizant (Columbia, SC)
- …understanding of payer functions and Medicaid plan implementations, including enrollment, billing , claims , care management, member portal, shopper tools, etc. ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- SSM Health (MO)
- …Location: Illinois, Missouri, Oklahoma, Wisconsin + N/A **Department:** 9602130099 Optimization - Billing - Claims **Work Shift:** Day Shift (United States of ... Systems Analyst at SSM Health! Preferred certifications in Resolute HB, PB, and/or Claims . **Job Summary:** Acts as a broad subject matter expert for service line… more
- Norstella (Topeka, KS)
- …to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records ... degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more
- Oak Orchard Health (Brockport, NY)
- …follow-through with third party billing organization for correcting identified billing problems. + Provides updates on accounts/ claims to leadership, as ... assigned status buckets. Perform weekly audits to ensure proper billing /coding on claims , provide reports to Chief Financial Officer and Leadership, correct… more
- Covenant Health Inc. (Knoxville, TN)
- …submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for billing and follow-up ... when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and… more