- Owens & Minor (Downers Grove, IL)
- …refund requests + Medical necessity documentation requests and cert audits + Billing/ coding audits + Full scale random sampling audits + Gather and collate all ... & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+...to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims … more
- AbbVie (Mettawa, IL)
- …Professional training in a healthcare field, experience in analysis of large medical claims datasets/electronic medical records or prior experience in ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...programming skills and experience to analyze clinical, survey and claims databases. Role supports the department as a technical… more
- Robert Half Finance & Accounting (North Andover, MA)
- …who enjoy a dynamic, collaborative work environment. Responsibilities: * Process and submit medical claims to insurance providers with precision and attention to ... receivable, recording payments and applying necessary billing adjustments. * Collaborate with healthcare staff to address and correct coding discrepancies. *… more
- Option Care Health (Bannockburn, IL)
- …advanced analytics techniques to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance ... hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Analyst, Compliance Auditing, Monitoring...key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. +… more
- CareFirst (Baltimore, MD)
- …and regulatory requirements. + Solid understanding of CPT-4, HCPCS, revenue and ICD coding , medical terminology, claims payment, contract negotiations and ... contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market… more
- BrightSpring Health Services (Englewood, CO)
- …and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding , and medical terminology + Solid Microsoft Office skills with the ... thousands of patients nationwide through our growing network of branches and healthcare professionals. The RCM Ancillary Services Team Lead will be capable of… more
- Catholic Health Services (Smithtown, NY)
- …care center; 296-bed not-for-profit community hospital and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to ... purposes, including Minimum Data Set (MDS) assessments and other relevant documentation. + Coding and Billing: Assist in the accurate coding and billing of… more
- University of Utah Health (Salt Lake City, UT)
- …experience, or equivalency. **Qualifications (Preferred)** **Preferred** + Understanding of Medical billing terminology or equivalent. + Demonstrated claims ... and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. **Responsibilities** + Performs insurance… more
- Elevance Health (Indianapolis, IN)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator II** will be responsible for the ... identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Stony Brook University (St. James, NY)
- …of Patient Registration, Scheduling, Acute Case Management, Health Information Management, Medical Coding , Eligibility, Batch Document Scanning and Patient ... Capture, Visitor Management, online payment solutions, Document Imaging, Diagnostic Coding , Deficiency Management, and Enterprise Master Patient Index across… more
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