• Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Associate's degree in business field and 3 years of experience in hospital billing , accounting, and/or coding ; or an equivalent combination of education and ... that are complex based on high dollar amounts, multiple payers, unique billing or payment arrangements, specialized services (eg transplants, studies) as well as… more
    University of Rochester (05/24/25)
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  • Prospective Payment Specialist Coordinator

    Corewell Health (Watervliet, MI)
    …clinical outcomes, and maximize reimbursement. Collaborate with coding , billing , denials and other departments as needed.Monitor CMS/ insurance updates, ... analytical review of medical records and collaboration with interdisciplinary teams, including billing , coding , and medical team members. Also responsible for… more
    Corewell Health (04/23/25)
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  • Senior Medical Bill Examiner

    The Hartford (Naperville, IL)
    … per the American Medical Association + Review of medical documentation to support billing + Ability to discuss coding to medical providers Qualifications: + ... make a difference and are proud to be an insurance company that goes well beyond coverages and policies....team as we help shape the future. The Medical Billing department is seeking a dynamic individual to fill… more
    The Hartford (05/28/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …will support day-to-day business functions including, but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer service. ... + Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied...issues. + Process appeals. + Liaise with third party billing and collection agencies. + Identify issues and patterns… more
    Stony Brook University (05/16/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer service. ... + Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied...issues. + Process appeals. + Liaise with third party billing and collection agencies. + Identify issues and patterns… more
    Stony Brook University (05/08/25)
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  • RCM Key Account Manager

    ZOLL Medical Corporation (Broomfield, CO)
    …customers and represent their needs within the organization Maintain relationships with insurance companies, hospitals, and other facilities 2. Billing and ... the company positively to all stakeholders. + In-depth knowledge of ambulance billing regulations and coding + Strong presentation and negotiation skills… more
    ZOLL Medical Corporation (06/04/25)
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  • Medical Specialist Principal - Life Company…

    USAA (San Antonio, TX)
    …projects/initiatives with significant impact. + 4 years of experience in medical coding and/or Medicare billing practices. + Ability to interpret ... will include providing support to investigators related to Medical Procedures and CPT coding issues and fraud waste and abuse activity. You will participant in… more
    USAA (06/07/25)
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  • Field Reimbursement Manager (Oncology) - (Central…

    J&J Family of Companies (Chicago, IL)
    …relationship . Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing . Reimbursement or relevant managed care experience ... state experience . Advanced degree and/or relevant certifications in prior authorization and/or billing and coding . Strong market access acumen as it relates… more
    J&J Family of Companies (05/30/25)
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  • CDM Analyst Revenue Integrity/ Full Time/Hybird

    Henry Ford Health System (Troy, MI)
    …Clinical Staff, Information Services, HIMS and PFS to facilitate expeditious resolution of coding and billing issues related to the functionality of the CDM ... for pricing and fee schedule maintenance 6. Supports timely implementation of coding updates (CPT/HCPCS), periodic UB Revenue Code updates, modifier revisions and… more
    Henry Ford Health System (06/03/25)
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  • Clinical Provider Auditor Senior - Maryland…

    Elevance Health (Hanover, MD)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention… more
    Elevance Health (05/29/25)
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