- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation ... referrals and entering the completed referral into the electronic medical record system for claims adjudication to...staff in a timely manner. + Communicates effectively with health plans, payor representatives, and network and claims… more
- Stony Brook University (East Setauket, NY)
- …following requirements:** + Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more
- Guthrie (Sayre, PA)
- …to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, ie diagnosis and ... invoice is correct. Follows up with payers on unresponded claims . Works denied claims by following correct...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects,… more
- Intermountain Health (Murray, UT)
- …problems. Minimum Qualifications Demonstrated experience in any of the following: + Medical /pharmacy claims processing. + Health benefit coordination. + ... **Job Description:** The Pharmacy Benefit Specialist I is responsible for the day-to-day operations...Skills + Pharmacy + Pharmacy Benefits Management (PBM) + Medical Prescriptions + Pharmacy Claims + Call… more
- State of Minnesota (St. Paul, MN)
- … and independent claims in all other personal injury (tort) claims including no-fault, third-party auto, homeowners, and medical malpractice claims ... documentation supporting the recovery of third party funds for cases in which Medical Assistance (MA), Minnesota Health Care Programs (MHCP), and cash… more
- Fairview Health Services (St. Paul, MN)
- …denials + 1 year expertise in reading and interpreting commercial payer medical policies + Certified Coding Specialist -Professional (CCS-P) + Certified ... **Job Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of...for services provided by the Physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments… more
- Community Health Systems (Kingston, PA)
- …Medical Billing or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required ... Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred Equal Employment Opportunity… more
- Air National Guard Units (Langley AFB, VA)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a Health Systems Specialist (Title 32) (Indefinite), Position Description Number D1941000 ... VA 192 MEG GP, National Guard. Responsibilities As a Health Systems Specialist (Title 32), GS-0671-9, you...for managing all medical administrative functions including medical support, medical operations, force health… more
- Pediatric Movement Center (Hagerstown, MD)
- …and recognition including: The Hub City Business Competition, Winner of The Hotlist, Best Medical Specialist , and Best Attraction for Kids to name of few! PMC ... Job Title: Billing Specialist Location: Hagerstown and Frederick, MD Job Type:...reimbursement on approved coursework Retirement: Employer contribution to IRA Health Insurance: Individual Coverage Health Reimbursement Arrangement… more
- HCA Healthcare (Ocala, FL)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Medical Office Specialist with HCA Florida Ocala Hospital Imaging Center ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...in our organization. We are looking for an enthusiastic Medical Office Specialist to help us reach… more