- Insight Global (Pleasanton, CA)
- …2+ years of experience specifically in Medicare billing. * Knowledge of CMS 1500 claims , CPT/HCPCS coding , ICD-10, and Medicare fee schedules. * Familiarity with ... responsible for the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …+ Minimum of 5 years of sales or business development experience in healthcare services, medical technology, or payer/provider solutions. + Proven track record ... and partners and strengthening our collective impact on total healthcare . Guided by our mission, we think big and...SaaS driven offerings. + Ability to educate on billing, coding , and reimbursement models particularly in digital health or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and procedures to determine clinical appropriateness. * Completes review of both medical documentation and claims data to assure appropriate resource ... are looking for dedicated and motivated individuals who share our vision of transforming healthcare . As a Blue Cross associate, you are joining a culture that is… more
- Waystar (Atlanta, GA)
- …industry changes and compliance issues, focusing on government/payer requirements for claims billing & coding /authorization * Leverage analytical tools (Excel, ... planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to advise clients in… more
- AbbVie (Mettawa, IL)
- …training in a healthcare field, experience in analysis of large medical claims datasets or prior experience in the UNIX/Hadoop environment preferred ... theories, analytical methods, and technical programming skills to analyze clinical, survey, claims , and electronic medical record databases. Role supports the… more
- Trinity Health (Howell, MI)
- …insurance, or managed care industries is highly preferred. Experience performing medical claims processing, financial counseling and clearance, or accounting ... claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary...of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is… more
- Robert Half Accountemps (Danville, KY)
- …in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively ... information as required. + Work closely with billing and coding staff to ensure accurate and compliant claims...+ Ideally 1 year or more of experience in medical billing, accounts receivable management, or healthcare … more
- Sanofi Group (Bakersfield, CA)
- …coding , financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center ... patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people...payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site… more
- Robert Half Accountemps (Chattanooga, TN)
- …work environment. Key Responsibilities: + Dental Billing Expertise: Process dental-specific claims accurately, ensuring all required documents, coding , and ... practice. This role focuses on managing complex dental billing processes, claims attachments, pre-determinations for treatment coverage, and all other administrative… more
- Centene Corporation (Frankfort, KY)
- … claim analysis, or fraud investigation experience. Knowledge of Microsoft Applications medical coding , claims processing, and data mining preferred. ... within the state of Kentucky. **Position Purpose:** Investigate allegations of healthcare fraud and abuse activity. Assist in planning, organizing, and executing… more