- Globus Medical, Inc. (Limerick, PA)
- …human resources support to assigned client groups and reports directly to the HR Manager . This role works in close partnership with the HR Manager to ... and employees and escalating complex, sensitive, or high-risk matters to the HR Manager as appropriate. Essential Functions: + Work in close collaboration with the… more
- Carle Health (Champaign, IL)
- Overview Reports to the HIM Coding Manager and is responsible for coordinating and directing activities related to coding of individual patient health information ... for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding...works with them to implement changes. In collaboration with manager (or director) conducts regularly scheduled meetings with staff,… more
- Seventh Dimension (Richmond, VA)
- …+ Report suspicious persons, behaviors, and / or activity to the on-duty Valet Manager and if appropriate, immediately to the VA Police or local law enforcement. + ... areas. + Monitoring and reporting to on duty Valet Manager any valet parking area violators and / or...filed to verify parking counts and any potential damage claims . * If the vehicle driver refuses to sign… more
- Guidehouse (Boston, MA)
- …Testing** : Confirm HL7/FHIR message integrity across labs, imaging, MIIS, PBM claims , and SOPS Meta. + **Security Testing** : Validate role-based access, HIPAA, ... AA standards for behavioral health and vulnerable populations. + **Charge and Claims Testing** : Validate financial workflows and payer adjudication. + **Parallel… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Responsibilities:** Under the general supervisor of the Manager Accounts Receivable, the analyst is responsible for identifying, validating, submitting and ... + 1 to 3 years knowledge of medical billing ICD-10, CPT DRG; claims coding ;Revenue Code Mapping, Data Analysis, Data warehousing, translated 5010 EDI files,… more
- Waystar (Atlanta, GA)
- …Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for establishing new client payer edit configurations. ... changes and compliance issues, focusing on government/payer requirements for claims billing & coding/authorization * Leverage analytical tools (Excel, PowerBI,… more
- First Student (Cincinnati, OH)
- …transportation industry has to offer.** Serves as the third party liability claims administrator (GLICRS) and the technical examiner for the workers compensation ... for financial data integrity purposes, state regulators for self- insurance purposes, claims vendors for financial data integrity purposes, and RMIS vendors for RMIS… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability /vet ... terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural curiosity Strong… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability /vet ... the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received...codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims **The current salary range for this position is… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...+ Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. + Strong organizational… more