- 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
- Trinity Health (Mason City, IA)
- …a timely manner. Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level. ... in's verifying insurance coverage, complete doctor orders and documentation to ensure clean processing of claims . They perform their duties in a manner… more
- St. Luke's University Health Network (Allentown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. Responsible for training and coordination of the...party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal reimbursement and maximization of… more
- Community Health Systems (La Follette, TN)
- …experience in understanding the minimum requirements needed for Medicare billing, medical claims processing , or hospital revenue cycle operations required + ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- Zelis (St. Petersburg, FL)
- …to efficiently identify billing errors and adhere to policies and procedures for claims processing . This is a production-based role with production and quality ... Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to...concepts + Understand payor policies and their application to claims processing + Prepare and upload documentation… more
- Trinity Health (Livonia, MI)
- …defined by policy. + Interfaces with THAH to resolve problems related to the processing of bills/ claims . Investigates client accounts at the request of THAH and ... The Prebilling Audit Coordinator is responsible and accountable for the processing of all regulated billing documentation meeting HCFA/MCC/JCAHO regulations and… more
- Saint Francis Health System (Tulsa, OK)
- …all aspects of patient financial services including professional and hospital claims billing, cash posting, and management of patient receivables. This role ... to maximize cash flow, reduce accounts receivable days, and ensure effective claims adjudication. This position plays a key role in monitoring pertinent revenue… more
- Masonicare (Wallingford, CT)
- …established procedures. - Works with - operations to resolve - issues that impact claims processing . Brings problems and delinquent responses to the attention of ... Manager. Process- corrections - and generate- claims for re- processing . - - Reviews denials...Mystic Community + Job Fairs + Hospice + Behavioral Health Similar Jobs + Receptionist Wallingford Center, Connecticut +… more
- Sedgwick (Bartlesville, OK)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... **PRIMARY PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure workers'… more
- City of New York (New York, NY)
- …week. The New York City Comptroller's Office works to promote the financial health , integrity, and effectiveness of New York City government, in order to strengthen ... Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when… more