- The Cigna Group (Denver, CO)
- … Economics and healthcare financial modeling; * Hands on experience ( medical claims data, clinical data, pharmacy data, and eligibility data,) including ... reconciliation for pilot programs; * Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced)...working with healthcare coding systems (CPT, ICD-9-10, HCPCS, LOINC,… more
- Swedish Health Services (Seattle, WA)
- …Redmond, Washington **Job description:** The Business Office Manager over Revenue Cycle coding is responsible for the timely, accurate, and comprehensive review of ... provider claims to optimize reimbursement and ensure compliance with all...trends and educational opportunities for providers to ensure proper coding , documentation, and accuracy of billing within their areas… more
- Robert Half Office Team (San Marcos, CA)
- …experience, with healthcare or insurance strongly preferred. + Knowledge of medical billing, insurance claims , or clinical administration is a plus. + ... this opportunity is for you. Our client, a growing medical services provider in San Marcos, is seeking a...verification with patience and clarity. + Research and resolve claims -related issues, including prior authorizations, coding questions,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely...and Federal Mandates. + May be responsible for pricing, coding , researching claims to ensure accurate application… more
- Robert Half Finance & Accounting (Odenton, MD)
- …and underpayments. * Coordinate with healthcare insurance companies on outstanding medical claims and appeals. * Maintain effective communication with the ... in HealthCare Billing systems and practices * Familiarity with Medical Billing procedures and regulations * Strong management and leadership skills with… more
- Takeda Pharmaceuticals (Boston, MA)
- …work with an inclusive & supportive team to analyze data, including complicated medical claims and pharmacy prescription datasets, while partnering closely with ... Analytics team plays a critical role in uncovering deep insights into patient, healthcare practitioner and health system unmet clinical needs to identify ways to… more
- Trinity Health (Athens, GA)
- …years hospital registration or insurance verification experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. ... for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school… more
- Danaher Corporation (Memphis, TN)
- …/ customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role ... will have the opportunity to: + Provide education to internal colleagues, healthcare providers, lab professionals, office staff and financial decision makers on… more
- LogixHealth (Dania Beach, FL)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... site, and aliment information for MVA, WC, MD, insurances + Review claims reports and validations; make all corrections to insurance, patient registrations +… more
- Philips (Malvern, PA)
- …of Medicaid and Medicare Services (CMS) regulations, claims audits, billing, coding , revenue integrity, medical records, and data analytics. You are also ... on issues facing sales, services, billing and reimbursement, and interactions with healthcare providers and professionals. Also, you will lead and be responsible for… more