- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects of… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... coding and billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system; This includes the verification… more
- Entergy (Hammond, LA)
- …contract governance and provide oversight of supplier performance management, including claims management and dispute management/ resolution + Establish and ... with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: SENIOR FACILITIES CONTRACT SPECIALIST Location: United States-Virginia-Virginia Beach Job Number: 2500008Y Navy Exchange Service Command (NEXCOM) offers ... Grade: NF05, Salary Code 5A. Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development, advertisement, award,… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …to Love's:** This position is responsible for fully investigating claims involving general liability, workers compensation, auto liability, product liability ... of action to monitor and accurately document claim details. + File new claims with proper carrier or state agency. **Experience and Qualifications:** + HS Diploma… more
- Healthfirst (FL)
- …grievances through the full case lifecycle, from written acknowledgement to investigation, resolution , and written member resolution letters. + Conduct detailed ... are appropriately addressed and resolved. + Draft and issue acknowledgement and resolution letters that are clear, and compliant with regulatory standards and… more
- Billings Clinic (Billings, MT)
- …to learn more! Pre-Certification Specialist (Full-time) PRE-ACCESS (ROCKY MOUNTAIN ... the appropriate appeal procedures for denials. * Responsible for coordinating resolution of varied problem situations and performing necessary investigation and… more
- Robert Half Accountemps (Pomona, CA)
- Description We are looking for a skilled Medical Biller/Collections Specialist to join our team in Pomona, California. This is a long-term contract opportunity ... we encourage you to apply. Responsibilities: * Process and submit medical claims to insurance providers with precision and adherence to regulations. * Manage… more
- Insight Global (Camden, NJ)
- … claims , authorizations, benefits, accounts receivable/follow up, and payment resolution . This individual will also upload patient medical records using revenue ... Job Description Insight Global is looking for a Credit/Balance Specialist to join one of our healthcare clients teams...to detail (Working within 2-3 work ques, completing 50 claims /denials per day). We are a company committed to… more
- Insight Global (Miami, FL)
- …of charges, a current record of all transactions, and account resolution - Maintains active communications with insurance carriers and third-party carriers ... - Report any coding related denial to the Coding Specialist . - Performs other duties including but limited to...eligibility. Conducts necessary research to ensure proper reimbursement of claims . We are a company committed to creating diverse… more