- St. Luke's Health System (Boise, ID)
- …and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy ... the applicable pharmaceutical regulations, and requirements to align member and Health Plan cost containment strategies. + Navigate federal laws that may… more
- Amergis (Springfield, MA)
- …and/or manager during or immediately following the visit. + Utilize our electronic health record, scheduling platforms, and claims platforms to collect data, ... additional tools or screeners as needed, including relevant behavioral health screeners (PHQ-9, EASI, Audit, DAST). + Uses clinical...care team. + Understanding of how to use electronic health record systems and /or care management platforms to… more
- Cardinal Health (Des Moines, IA)
- …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...- $32 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- Oak Orchard Health (Brockport, NY)
- …a leading, patient-centered organization where professionals come together to improve access to quality health care for all? At Oak Orchard Health , you can grow ... talent with our mission to ensure everyone has access to affordable, quality health care. Our diverse, highly skilled professionals are the reason for our success,… more
- WMCHealth (Poughkeepsie, NY)
- …Applicant link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services ... City/State: Poughkeepsie, NY Category: Clerical/Administrative Support Department: Patient Accounts-WMC Health Union: No Position: Full Time Hours: 40 Shift: Day… more
- AmeriHealth Caritas (Newark, DE)
- …including Excel, Access, PowerPoint and Outlook + Knowledge of the basic health care industry, managed care principles, claims , and medical terminology ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us… more
- Humana (Oklahoma City, OK)
- …relations, claims education) + Experience working with or in health care administration setting + Exceptional relationship management and interpersonal skills + ... **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Provider Engagement Professional 2 who… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing Specialist ... III/IV - Behavioral Health Salary $52,216.65 - $73,565.49 Annually Location Ventura and...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Beth Israel Lahey Health (Burlington, MA)
- …provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and ... annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding… more
- Trinity Health (East Greenbush, NY)
- …in East Greenbush, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located ... Coding and EPIC knowledge not required but a plus. Must have knowledge of health insurance. After probation period 1 work from home day a week allowed. **Position… more