- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and… more
- Cedars-Sinai (Los Angeles, CA)
- …post coding audit changes and assists with coding corrections needed from billing department. + Provides written summary reports of findings. + Coordinates and ... staff. + Assist in improved data quality for reporting and research, accurate billing and reimbursement of services rendered which overall improves the quality of… more
- The Salvation Army (Elmira, NY)
- Overview Seeking a as needed Provider NPI for Medicaid Billing to join our Elmira Corps SCOPE AND PURPOSE OF POSITION: This job is for a licensed healthcare ... re-integration program. The Practitioner's NPI will be reported on claims submitted to Medicaid. The only qualified practitioners for...take anywhere up to 10 hours max per monthly billing cycle and can be done remotely through the… more
- UCLA Health (Inglewood, CA)
- …patients receiving services at Venice Family Clinic. + Accurately process outpatient claims to third-party payers, following all mandated billing guidelines. + ... Provides quality control checks on paper claims ; processes tracers, denials, and related correspondence; + Initiates appeals; drafts, composes, and submits appeal… more
- WellSpan Health (Lewisburg, PA)
- …etc) to insurance companies via electronic or manual processes and facilitates special billing for split claims , ancillary charges, interim bills, etc.- Resolves ... healthcare billing systems (Epic preferred) + Familiarity with medical and billing terms to help interpret edit resolution, claims remittance advice, medical… more
- WellSpan Health (York, PA)
- …etc) to insurance companies via electronic or manual processes and facilitates special billing for split claims , ancillary charges, interim bills, etc.- Resolves ... healthcare billing systems (Epic preferred) + Familiarity with medical and billing terms to help interpret edit resolution, claims remittance advice, medical… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more
- Mount Sinai Health System (Elmhurst, NY)
- …governmental regulations, protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with ... any areas for improvement in documentation as related to compliance and billing . Query and/or meet with physicians regarding documentation and deficiencies. Review… more
- Queen's Health System (Honolulu, HI)
- …insurance balances are paid in a timely manner. * Performs accurate and timely billing of patient accounts in accordance with policies and procedures of The Queen's ... plans and other third party payor requirements, as assigned. * Ensures accurate claims submission to optimize revenue for the Medical Center, as assigned. * Responds… more
- Catholic Health (Buffalo, NY)
- …up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A ... two (2) - five (5) years of experience in billing or Associates Degree in Business or Accounting EXPERIENCE...a computer + Specialized experience such as medical claim billing , long term care and/or infusion pharmacy billing… more