- Somatus (Mclean, VA)
- …MBA, etc.) + Experience in healthcare industry and strong knowledge of medical coding systems + Experience using business intelligence reporting suites (eg, ... the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible...impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data. This… more
- CVS Health (KS)
- …team members. **Required Qualifications** * 2-4 years of experience healthcare field, medical /health setting, medical billing and coding * Experience in ... Care Management Associate you will be supporting comprehensive coordination of medical services including Care Team intake, screening and supporting the… more
- AssistRx (Phoenix, AZ)
- …a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and ... This role works directly with healthcare providers & insurance plans/payers to gather information...access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays… more
- CVS Health (WV)
- …the area of healthcare fraud and abuse matters. + Working knowledge of medical coding ; CPT, HCPCS, ICD10 + Proficiency in Microsoft Office with advanced ... level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are...fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business +… more
- Amgen (Phoenix, AZ)
- …assistance resolving any issues or coverage challenges + Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes ... insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review… more
- Cedars-Sinai (Los Angeles, CA)
- …of Benefits (EOB) statements. **Experience we are seeking:** + Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's… more
- Mount Sinai Health System (New York, NY)
- …to maximize the effectiveness of Mount Sinai Health System's EPIC electronic medical record (EMR) platform for Revenue Cycle Management. This leader will focus ... RCM Operations. **Qualifications** + Bachelor's degree in business administration, Healthcare Administration, Information Systems, or related field (master's degree… more
- Intermountain Health (Park City, UT)
- …Health. This position demonstrates an understanding of the regulations that govern healthcare and works to ensure compliance with those regulations. This position ... - currently assigned as Park City Hospital, Heber Valley Hospital, surrounding Medical Group clinics, and at least one functional area within Intermountain Health.… more
- Mayo Clinic (Rochester, MN)
- …can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for ... oversight and serve as a subject matter expert in data visualization, claims analysis, and revenue cycle intelligence. Key Responsibilities: * Analyze denial-related… more
- DriveTime (Tempe, AZ)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...studying large datasets by leveraging strong Excel skills and coding languages such as SQL, Snowflake, and R. +… more
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