- Independent Health (Buffalo, NY)
- …Reliance Rx Operations & Compliance department. + Experience working with online claims processing system preferred. + Effective oral and written communication ... for completing the billing of both pharmacy and medical claims and adjudicating rejections. **Qualifications** + High school diploma...skills and an aptitude for working with other health care professionals. + Ability to lift a minimum… more
- System One (Washington, DC)
- …standards. + Develop and update SOPs to clearly outline step-by-step procedures for claims processing and related operational workflows. + Translate complex ... Proven experience developing SOPs and process documentation. + Strong understanding of claims processing systems, terminology, and workflows. + Proven ability to… more
- Cardinal Health (Charleston, WV)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- Oak Orchard Health (Brockport, NY)
- …cycle operations and liaison with the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, ... where professionals come together to improve access to quality health care for all? At Oak Orchard Health...billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This… more
- Robert Half Office Team (Greenville, SC)
- …electronic health record (EHR) systems and other software tools to support claims processing and administration. * Collaborate with team members to ensure ... changes to ensure compliance. * Support continuous improvement initiatives to enhance claims processing efficiency. Requirements * ROLE IS PART TIME. Proficiency… more
- Rochester Regional Health (Rochester, NY)
- …+ Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health ), denials management, ... of medical terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows up on insurance… more
- Essentia Health (Superior, WI)
- …nursing staff, pharmacies, third parties, and software vendors to work through claims adjudication and processing issues to ensure payment from third-party ... pharmacies to help ensure Medicare rules are followed when processing Medicare B billed claims + Provide...of experience (CPhT, CMA, etc.) Employee Benefits at Essentia Health : At Essentia Health , we're committed to… more
- Molina Healthcare (San Diego, CA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …as an information resource to employees regarding benefit provisions, enrollment, premiums, claims processing , etc. Works with employees and carriers to resolve ... candidate will have an extensive Benefits background, specifically in Health & Welfare and Retirement. Will be able to...issues pertaining to plan provisions, enrollment, claims processing , denied claims , etc.… more
- Community Health Systems (La Follette, TN)
- …related field preferred + 1-2 years of experience in Medicare billing, medical claims processing , or hospital revenue cycle operations required + Experience with ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more