- Shuvel Digital (Lawrenceville, NJ)
- …Gaffey on a daily basis. + Analyzes claims for errors and correct claims prior to submission. + Works closely with other departments to make corrections and ensures ... accuracy for the days work. + Researches all utilization review claims for accuracy prior to billing on a timely basis. + Analyzes accurately the hold report to… more
- City of New York (New York, NY)
- …insurance information with clinic teams to ensure transparency. - Track and manage medical records requests from MCO to obtain prior authorization approvals and ... claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch claims out to third… more
- Beth Israel Lahey Health (Westwood, MA)
- …programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered ... years related work experience required in specialty pharmacy and medical prior authorization experience or a minimum...Codes and International Classification of Diseases (ICD-10). Experience with medical buy & bill and specialty clinic… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …prior authorization (PA), claims, approvals, denials, appeals, letters of medical necessity, peer-to-peer discussions, buy-and- bill vs. specialty pharmacy ... Experience. . Bachelor's degree preferred. . 3+ years of medical billing experience. . Prior experience in...3+ years of medical billing experience. . Prior experience in ophthalmology strongly preferred. . Previous experience… more
- Sanofi Group (Boise, ID)
- …billing and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion ... matter experts on product procurement as it relates to medical payer policy requirements, buy & bill ...medical payer policy requirements and coordination of multiple prior authorization needs + Infusion therapy experience + Home… more
- BrightSpring Health Services (Woodbury, MN)
- …patients upon referral from the RN Case Manager + Reviewing patient chart and medical history prior to initiating treatment + Working within the complementary ... day one. Apply today! Our comprehensive benefits include: + Medical and dental benefits + Short- and long-term disability...and alternative health care client bill of rights + Documenting all patient visits according… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …with HIPAA regulations required. CERTIFICATES, LICENSES, REGISTRATIONS Certified Professional Biller (CPB) -Certified Medical Reimbursement Specialist (CMRS) ... opportunities available to join the HKNC team as a Medical Billing Specialist. The Medical Billing Specialist...* Review service documentation to ensure accuracy and completeness prior to claim submission. * Track claims, address denials… more
- Outreach Development Corporation (Richmond Hill, NY)
- …Perform other tasks assigned (on an as needed basis) by the supervisor. Qualifications + Prior Medical Billing of 3 years and more. + Knowledge of Medicaid, ... health services and training. For more information, please visit www.opiny.org. Position: Medical Billing & Collections Specialist Position: The medical billing… more
- Kubicki Draper (West Palm Beach, FL)
- …in insurance defense litigation, bodily injury and/or general liability, preferred Basic medical knowledge a plus Prior experience in reviewing and summarizing ... records, bills and supporting documents, as well as create medical chronologies and bill summaries Communicate with clients, carriers, and counsel effectively in… more
- Trinity Health (Sioux City, IA)
- … experience in the secretarial/clerical field, in a health care setting. Medical /surgical terminology required. Prior customer service experience required. + ... a place to go when you're in need of medical attention. Our Mission is based on improving the...in Trinity Health System daily. Also enters orders for bill only, replacement, and requisition supplies and implants in… more