- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system * Handles Paper claims processing including proper documentation of accounts with the highest level of ... healthcare system with future expansion anticipated to maximize reimbursement for the health system. Requires an increased level of oversight to ensure both… more
- Covenant Health Inc. (Knoxville, TN)
- …codes, modifiers, charging units, physician's NPI, and HCPCS/CPT codes, to facilitate claims processing in a timely manner. Identifies trends and investigates ... , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's...knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This… more
- Trinity Health (Livonia, MI)
- …by policy. + Interfaces with THAH to resolve problems related to the processing of bills/ claims . Investigates client accounts and provides any additional ... The Authorization Specialist is responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Mount Sinai is one of the largest non-profit health systems in the US with a strong reputation for quality of care (18th ranked academic medical ... center) and research/education (22nd ranked medical school). Our health system has ~40,000 employees working together to provide billions of dollars in high-quality… more
- Henry Ford Health System (Troy, MI)
- …professional publications as it pertains to Benefit Administration Manual policies, claims processing decisions, and coding credentials. This posting represents ... HAP code-related committee meetings to resolve coding questions related to claims , configuration, benefits, new technology, fraud, compliance, and any other issue.… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position ... (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...this includes (but not limited to): general inquiries on claims processing , payment status and appeal and… more
- Ventura County (Ventura, CA)
- …general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance ... years + 5 or more years 02 Describe your experience with billing and processing claims for timely reimbursement and compliance with Medi-Cal, Medicare, and… more
- Martin's Point Health Care (Portland, ME)
- …waste, and abuse investigatory techniques and strategies + Solid understanding of standard claims processing systems, operations, and claims data analysis + ... Join Martin's Point Health Care - an innovative, not-for-profit health...payments. This role focuses on preventing overpayments, identifying incorrect claims , and leading recovery efforts while improving system controls… more
- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2506226 **Minimum Qualifications** : High School...hospital claims . Identifies billing issues affecting hospital and/or physicians … more