- Abbott (Plano, TX)
- …combination of education and work experience + General knowledge of private insurance , Worker's Compensation and Medicare guidelines pertaining to Prospective ... or similar work experience. **Preferred** **Qualifications** + Knowledge of private insurance , Worker's Compensation and Medicare guidelines pertaining to… more
- HCA Healthcare (Plano, TX)
- …**Qualifications:** + Minimum two years related experience preferred, such as accounts receivable follow -up, insurance follow -up and appeals, insurance ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- Houston Methodist (Houston, TX)
- …Degree preferred **WORK EXPERIENCE** + Minimum five years' experience in commercial insurance follow -up **LICENSES AND CERTIFICATIONS - REQUIRED** + N/A ... is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to… more
- WestCare Foundation (Pikeville, KY)
- …for assisting the agency in ensuring that documentation requirements for Medicaid, Medicare and other funding sources per chapter and contract guidelines are adhered ... in the areas of quality documentation and records review in relation to Medicaid/ Medicare regulations and all other federal, state and local rules and regulations… more
- HCA Healthcare (Las Vegas, NV)
- …you want to join an organization that invests in you as a Medical Collections Specialist ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Rush University Medical Center (Chicago, IL)
- … Specialist I will assist patients with understanding their insurance options and collecting patient financial responsibilities. The Admissions Registration ... depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of… more
- Bluestone Physician Services (Stillwater, MN)
- …through payment. This includes but is not limited to: submission of claims, follow -up for all insurance plans, managing denials, resubmissions, and tracking of ... and effectively troubleshoot all known claim denials and rejections, follow up with insurance providers regarding unpaid...+ Knowledge of medical terminology + Working knowledge of Medicare , Medicaid, and third party insurance and… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …responsibilities include: ensuring accurate and timely processing of all third party insurance , Medicaid, Medicare , Private Pay, and special programs. This ... HIPAA. Responsibilities include: + Posting payments, adjustments, processing denial, bi-monthly re-bill, follow up with insurance companies on accounts not paid,… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist II is responsible for reviewing patient registration for all types ... admissions and elective procedures to ensure patient and guarantor demographic and insurance information is complete and current with each patient visit. The… more
- University of Southern California (Alhambra, CA)
- …rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare , Medi-Cal, MAC, RAC, and commercial insurance companies -when ... compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials'… more