• Accounts Resolution Specialist I

    Penn Medicine (Philadelphia, PA)
    …+ The Account Resolution Specialist I reports to the Supervisor of Billing ; primary responsibilities are to facilitate activities necessary to a successful ... as well as follow up work queue denials transferred from Professional Billing Office that require department intervention. Individuals will be responsible for… more
    Penn Medicine (11/12/25)
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  • Coding Account Resolution Specialist-Outpatient

    HCA Healthcare (Nashville, TN)
    …research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit, ... reports to leadership + Works with team members in billing , revenue integrity and/or the Medicare Service Center to...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
    HCA Healthcare (10/30/25)
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  • Prof/Ancillary Auditor ll

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …is seeking a dedicated Coding Auditor to join our team and perform thorough claims payment quality and clinical coding compliance audits\. Your role will be pivotal ... results to appropriate parties; recommending corrective course of action\. + Conducting claims audits and serving as subject matter expert to management and internal… more
    BlueCross BlueShield of Tennessee (12/19/25)
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  • Sr Data Engineer

    Convey Health Solutions (Fort Lauderdale, FL)
    …for ingestion, processing and consumption including but not limited to eligibility, claims , payments and risk adjustment. The Senior Data Engineer supports Pareto ... + Experience working with healthcare data, including but not limited to eligibility, claims , payments, and risk adjustment datasets. + Expertise in modeling data in… more
    Convey Health Solutions (12/19/25)
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  • Reimbursement Specialist

    Amergis (Columbia, MD)
    …Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and ... customer service to branch offices regarding billing concerns. Essential Duties and Responsibilities: + Processes and...and other payer requirements as appropriate + Accurately generates claims and/or invoices of sales and bills a variety… more
    Amergis (12/12/25)
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  • Patient Account Representative

    TEKsystems (Dallas, TX)
    …contracts and identify billing or coding issues; request re-bills or corrected claims as needed. + Document clear and concise notes in the patient accounting ... creation to payment resolution. You will research accounts, follow up on claims , review remittances, and resolve disputed balances with both government and… more
    TEKsystems (12/11/25)
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  • Patient Care Coordinator

    Sedgwick (Orlando, FL)
    …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... necessary and approved by the claim's adjuster. + Confirms all required and relevant billing information exists in each referral as it relates to the workflow and … more
    Sedgwick (12/05/25)
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  • Patient Account Representative

    Select Medical (Canonsburg, PA)
    …As a key part of our team, you'll help resolve outstanding insurance claims , ensuring our patients are billed accurately and without unnecessary impact. We're ... an Account Receivables team member, you'll independently work on resolving unpaid insurance claims while contributing to our collective goal of accurate billing … more
    Select Medical (12/05/25)
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  • Denial Coordinator - Hybrid

    Community Health Systems (Antioch, TN)
    …The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with ... critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines.… more
    Community Health Systems (11/27/25)
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  • Collector

    Trinity Health (Westchester, IL)
    …Case Management, and Managed Care to gather necessary information and ensure claims are processed efficiently. **Key Responsibilities:** + Proactively follow up on ... claim rejections and denials, make corrections, and take appropriate actions or refer claims to the necessary team for resolution. + Evaluate accounts and resubmit … more
    Trinity Health (11/26/25)
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