- PruittHealth (Norcross, GA)
- …supervisor oversees a team of billing professionals, maintains compliance with healthcare regulations, and drives continuous improvement in revenue cycle processes. ... all home infusion services. * Oversee the preparation and submission of insurance claims , verify patient benefits and payer contracts, and manage follow-up on denied… more
- US Physical Therapy (Franklin, TN)
- …and accounts receivable + Strong knowledge of insurance claim processing and medical coding (CPT, ICD-10, HCPCS) + Excellent communication, organizational, and ... Therapy Company is responsible for managing and following up on insurance claims to ensure timely and accurate reimbursement. This role involves collaborating with… more
- US Tech Solutions (Columbia, SC)
- …or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare ... Knowledge of contract language and application. Thorough knowledge/understanding of claims / coding analysis/requirements/processes. Preferred Software and Other Tools:… more
- US Tech Solutions (Columbia, SC)
- …or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare ... Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims / coding analysis, requirements, and processes. Preferred Software… more
- Guthrie (Binghamton, NY)
- …System process improvement. + Denials Adjudication 1. Facilitate review of rejected medical claims using clinical evidenced based tools and peer-reviewed ... plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and...compliance monitoring. + Collaborate with all members of the healthcare team, both internal and external customers. 1. Provide… more
- Cedars-Sinai (Beverly Hills, CA)
- …reviewing and interpreting patient medical records using CPT and ICD10 coding systems. Technical understanding of Healthcare Data systems is needed. ... **Job Description** **Grow your career at Cedars-Sinai!** Cedars-Sinai Medical Center has been named to the Honor...Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner);… more
- BeOne Medicines (Emeryville, CA)
- …claims , EHRs, registries) and observational study design. + Strong understanding of healthcare coding systems (ICD, CPT, NDC). + Experience in supporting ... programming activities to support real-world evidence (RWE) generation using large-scale healthcare data sources (eg, electronic health records, claims ,… more
- Elevance Health (Atlanta, GA)
- …by law._ The Provider Reimburse Admin Sr ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... of education and experience, which would provide an equivalent background. + RN; Medical billing and coding certification strongly preferred. Please be advised… more
- Methodist Health System (Dallas, TX)
- …interpersonal interactions with physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to ... physicians and office personnel on the health plan contracts, fee schedules, claims processes, and regulatory requirements. * Serves as liaison between MHS… more
- New York eHealth Collaborative (New York, NY)
- …to manage large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ... experience in data analytics or health informatics within the healthcare industry or a medical environment; strong...+ Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data, ICD coding , CDA standards, web… more