- ProSmile (Oak Park, IL)
- …day per week! Duties and Responsibilities The duties include, but are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on ... outstanding claims and patient balances + Address patient balances +...Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses. + Life & Disability Insurance: Employer-paid basic… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A prestigious healthcare non-profit organization is seeking a talented Medical Revenue Cycle Director to join their organization. The revenue cycle ... training, technology innovation, analytics, compliance, and vendor management + Audit Ambulatory Surgery Center and Factor charges to ensure...and pre-scrubbed in a timely manner to ensure clean claims . + Bachelor's degree is a plus and systems… more
- Fresenius Medical Center (Carlisle, PA)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing… more
- University of Miami (Miami, FL)
- …a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, ... and internal standards. + Partner with Compliance and Internal Audit to address audit findings and mitigate...years in a leadership role. + Deep understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and… more
- Fresenius Medical Center (San German, PR)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to complete indigent ... work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing… more
- UPMC (Pittsburgh, PA)
- …Compliance Auditor!** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a dynamic environment where ... CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** Conduct… more
- The Cigna Group (Plano, TX)
- …informatics and data exchange using healthcare and clinical data such as Claims , Membership, Audit , Client Structure, and Benefits. If you will be working ... Looker to create dashboards for campaigning and other internal audit reports; using Python to understand the ETL workflow;...vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to… more
- Lawrence General Hospital (Lawrence, MA)
- …crucial in helping ensure our system's adherence to applicable healthcare laws, regulations, and accreditation standards, while offering practical, solution-focused ... drafting, revising, and archiving policies. + Collaborate with risk management, internal audit , Human Resources, and other departments to align compliance and legal… more
- Cleveland Clinic (Independence, OH)
- …Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is recognized as one of the top hospitals in ... and build a rewarding career with one of the most respected healthcare organizations in the world. As a Corporate Compliance Coding/Billing Specialist, you… more
- Cedars-Sinai (CA)
- …rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing ... contracted and employed physician practices. + Aggregates, analyze, and report audit results, identify error trends and root causes, and make recommendations… more