- University of Michigan (Ann Arbor, MI)
- …other team members, perform statistical analyses and develop data visualizations for large health insurance claims databases based upon the design of the ... Research Area Specialist Senior/Intermediate Apply Now **How to Apply** A...to clean, manage, and merge analytic datasets for large health insurance claims databases based upon the… more
- Queen's Health System (Honolulu, HI)
- …* Monitors work assignments to ensure accurate and timely billing of patient accounts, claims submissions and follow up on denied claims in accordance with ... policies and procedures of The Queen's Health Systems (QHS) and The Queen's Medical Center (QMC)...as assigned. * Performs duties of a Professional Billing Specialist as needed. II. TYPICAL PHYSICAL DEMANDS: * Essential:… more
- Independent Health (Buffalo, NY)
- …Registered Health Information Management Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on… more
- Syracuse Community Health Center (Syracuse, NY)
- …management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system. This role ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems, payer… more
- Integra Partners (Troy, MI)
- The Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting CMS (Medicare) and state Medicaid guidelines to ensure the ... across the company. Salary: $110,000/Annually The Medical Policy & Compliance Specialist responsibilities include but are not limited to: + Deep knowledge… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist include regular and consistent billing for all payers and follow-up ... and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible… more
- Charter Care Health Partners (Providence, RI)
- …and third parties to obtain information required to assure payment of inpatient claims . The Specialist will meet daily with the Insurance Verification ... Summary: The Insurance Verification Specialist completes the daily verification and authorization process...all in and outpatient cases in the Charter Care Health Partners network. This process requires extensive knowledge of… more
- MVP Health Care (Rochester, NY)
- …experience working in the medical community (medical office, medical records, medical billing), claims processing, health care or health insurance required. ... At MVP Health Care, we're on a mission to create...improvement. To achieve this, we're looking for a Credentialing Specialist to join #TeamMVP. If you have a passion… more
- 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