- Trinity Health (Davenport, IA)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- WellSense (NH)
- …accordance with the plan's policies and procedures + Identify system changes impacting claims processing and work internally on resolution + Identify systematic ... and research for potential configuration related work + Analyze trends in claims processing and assist in identifying and quantifying issues + Run claim reports… more
- The Cigna Group (Bloomfield, CT)
- …billing‑related issues. You will play a key role in ensuring accurate claims processing , maintaining compliant documentation, and delivering a positive, ... Office and ability to interpret billing codes and documentation. + Experience processing pharmacy claims . + Strong communication, customer service, and… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows up on insurance claims ;… more
- Community Health Systems (Birmingham, AL)
- …II is responsible for managing complex billing functions, ensuring timely and accurate claims processing , and resolving issues related to insurance payments and ... **Qualifications** + 2-4 years of experience in medical billing, insurance claims processing , or revenue cycle management required + 1-3 years in collections,… more
- Community Health Systems (La Follette, TN)
- …experience in understanding the minimum requirements needed for Medicare billing, medical claims processing , or hospital revenue cycle operations required + ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- Cardinal Health (Denver, CO)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more
- North Carolina State University (Raleigh, NC)
- …medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing , and the policies and contracts of ... insured patients; obtaining and providing the clinical documentation necessary for claims processing , such as x-rays, chart notes, and letters of necessity; +… more
- LA Care Health Plan (Los Angeles, CA)
- …Advanced understanding of managed care operations (including but not limited to, claims processing ; provider contracting, network and data management; complex ... of the application of the Division of Financial Responsibility (DoFR) to claims processing . Strong communication, analytical, organizational, and time management… more
- Robert Half Office Team (Carmel, IN)
- … claims . + Strong understanding of coding standards (ICD-10, CPT), claims processing , and insurance guidelines. + Excellent communication and negotiation ... will play a vital role in resolving denied medical claims efficiently and accurately in a fast-paced setting. Schedule:...insurance denials and conduct thorough research to resolve outstanding claims . + Analyze patterns and trends in denied … more