- HCA Healthcare (Manchester, NH)
- …a working knowledge of applicable HCA Healthcare and Parallon Credentialing Processing Center (CPC) policies, accreditation standards and regulations associated with ... Management Coordinate with the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other reports regarding final… more
- Highmark Health (Harrisburg, PA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more
- Providence (Tukwila, WA)
- …of experience in health care or pharmacy billing, collections or medical claims processing . **Preferred Qualifications:** + Bachelor's Degree in Business, ... meet required qualifications and conditions for payment** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex… more
- Hartford HealthCare (Farmington, CT)
- …*_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance and efficiency ... for internal or external audits related to billing and claims . Research payer policies from in and out of...billing processes and procedures . Knowledge of insurance claim processing and third party reimbursement . Knowledge and understanding… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …procedural codes to individual patient information for data retrieval analysis and claims processing . Queries physicians and/or oversees the query process when ... of, and access to, patient privacy practices + CODING: Serves as the coding specialist and/or oversees the assignment of the appropriate ICD-10-CM diagnostic and… more