- 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 ... standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management… more
- Abbott (Abbott Park, IL)
- …of healthcare , with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve ... Abbott is a global healthcare leader that helps people live more fully...We're always looking towards the future, anticipating changes in medical science and technology. **Working at Abbott** At Abbott,… more
- Centene Corporation (Columbia, SC)
- …including a fresh perspective on workplace flexibility. NOTE: This is a work-from-home, hybrid remote (up to 25% travel) role that meets virtually and in person with ... this role, we are also open to applicants with coding or pharmacy tech background.** Additional Details: * Department:...gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the… more
- Lundbeck (Dallas, TX)
- …and procedures + Meet face-to-face or virtually to answer technical coverage, coding , payment, and distribution questions + Compliantly assist customers with billing ... and coding questions **ESSENTIAL FUNCTIONS:** + Develop relationships with patient...+ Understand key concepts associated with navigating access via medical and pharmacy benefit reimbursement process + Serve as… more
- Sutter Health (West Valley, UT)
- …KNOWLEDGE:** + Medical terminology, Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS)/International Classification of ... Diseases (ICD)-9 coding knowledge. + Knowledge of medical terminology/anatomy. + Ability to exercise discretion and make independent judgements, seeking review… more
- Trinity Health (Livonia, MI)
- …Type:** Part time **Shift:** Day Shift **Description:** **Purpose** Work Remote Position (Pay Range: $21.5178-$32.2766) Responsible for the data capture, ... Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly… more
- Banner Health (Phoenix, AZ)
- … claims typically acquired over one to two years of work experience in medical claims adjudication, contract interpretations, billing and coding , and medical ... lives, apply today. Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is… more
- University of Michigan (Ann Arbor, MI)
- …and Financial Systems. SUPERVISION RECEIVED Administrative supervision from Director of IP Coding /CDI, functional supervision from Medical Director of CDI and ... data to identify health encounter trends and patterns + Analyze and interpret medical utilization data and costs, identifying new metrics for measuring results as… more
- Saint Francis Health System (OK)
- …Skills and Abilities: Strong knowledge of national and specialized cancer coding and classification systems. Knowledge of medical terminology, anatomy, ... software. Essential Functions and Responsibilities: Extrapolates detailed cancer data from medical records and completes a quality focused case abstract with 98%… more
- Modernizing Medicine (Boca Raton, FL)
- We are united in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc. 5000 Fastest-Growing ... is a world where the software we build increases medical practice success and improves patient outcomes. Founded in...a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed… more