- TEKsystems (Lincoln, NE)
- …data entry, customer service, Document management system, Administration, ms office suite, processing claims Additional Skills & Qualifications * 2-4 years ... related experience required. * Ability to develop and interpret provider contracts. Job Type & Location This is a Contract to Hire position based out of Lincoln, NE. Pay and Benefits The pay range for this position is $20.00 - $20.00/hr. Eligibility… more
- Trinity Health (Ann Arbor, MI)
- …by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items ... & ensures claims are billed accurately. Processes payments timely. Minimum Qualifications High school diploma or equivalent. HFMA CRCR or NAHAM CHAA required within… more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... business, healthcare administration or related industry. **Knowledge, Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special pricing, medical terminology, CPT coding and CMS-1500 or CMS UB -04 claim… more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... business, healthcare administration or related industry. + 18 months of experience within CareFirsts Provider Relations Department. **Knowledge, Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special… more
- Northwell Health (Melville, NY)
- …demographics as well as updating payment and medical insurance information. + Processing patient payments and refunds. + Identifying medical coding mistakes, as well ... to various government sites. + Manages work queue, aging lists, reports, and claims correspondence to assure accurate and timely payment of accounts. + Verifies… more
- Molina Healthcare (Tucson, AZ)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with… more
- Trinity Health (Ann Arbor, MI)
- …coding required. Ability to explain insurance benefits. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items ... & ensures claims are billed accurately. Processes payments timely. HFMA CRCR or NAHAM CHAA required within one (1) year of hire. **Our Commitment** Rooted in our… more
- Avnet (Orlando, FL)
- …Responsibilities:** + May provide quote preparation, order tracking, backlog processing , invoicing, returns, discrepancy resolution, customer credit problems and/or ... metrics. + Ensures that good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with consumer… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical ... collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts… more
- Amentum (Washington, DC)
- …and Third-Party feeds, identifying missing documentation and information, and procedurally denying claims . + Document Processing : Responsible for processing ... to provide compensation for any individual (or a personal representative of a deceased individual) who suffered physical harm...of each form, ensuring no PII data discrepancies during processing , proper identification of claims , and upload… more