- Spectrum Health and Human Services (Orchard Park, NY)
- Agency Profile: Spectrum Health & Human Services respectfully partners with adults, children, and families as they recover from behavioral, emotional, mental ... health and/or substance related disorders by offering individualized and...submission timeframes + Processes Medicaid and 3rd Party Payer claims on a minimum of a bi-weekly basis generating… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health ), ... Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims… more
- BrightSpring Health Services (Union City, CA)
- …Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication ... management. We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and… more
- St. Luke's Health System (Twin Falls, ID)
- **Overview** _Retail, Micro Pharmacy Behavioral Health Twin Falls- Pharmacy Technician's_ **_Overview_** _At St. Luke's, our Pharmacy Technicians play a vital role ... Pharmacy Technicians prepare and deliver our patients' medications, submit insurance claims , input prescription data, coordinate med-syncing, and assist our patients… more
- Novant Health (Winston Salem, NC)
- …You will also handle patient inquiries regarding their accounts and resubmit claims as needed to ensure accurate reimbursement. Key Responsibilities: + Follow up ... on unpaid or denied insurance claims with no payer response. + Analyze patient accounts...today! Responsibilities It is the responsibility of every Novant Health team member to deliver the most remarkable patient… more
- Community Health Systems (La Follette, TN)
- …for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review. ... revenue cycle teams, clinical departments, and external payers to ensure claims are submitted in accordance with regulatory guidelines and organizational policies.… more
- Evolent (Helena, MT)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data… more
- McLaren Health Care (Indianapolis, IN)
- …forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan ... and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of… more
- Elevance Health (Denver, CO)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Norfolk, VA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more