- Saint Francis Health System (Tulsa, OK)
- …improve billing and Accounts Receivable management. Ability to manage and optimize claims workflows, with using Electronic Medical Record (EMR) and Electronic ... remittance processing using Epic Resolute Hospital Billing/Professional Billing (HB/PB) and associated claims tools (eg, Claim Edit Work Queues (WQs), Remittance… more
- Commonwealth of Pennsylvania (PA)
- …surveys related to complaint and incident investigations, occupancy inspections, and follow -up visits to verify that facilities have implemented their corrective ... more information on ways to meet PA residency requirements, follow the link (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) and click on Residency. +… more
- Zelis (St. Petersburg, FL)
- …an advisory role with management of direct reports required. + Advanced competency in medical claim review and payment integrity preferred. + Ability to analyze ... a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical ...ensure savings are maximized and captured timely through proper claim handling. Effective and proven leadership experience is a… more
- Waystar (Atlanta, GA)
- …The goal of the position is to ensure implementation clients exceed clean claim targets and report high satisfaction with Waystar edit processes and content. This ... product, client support and technical teams to deliver accurate, timely claim edit/authorization rule configurations. * Studying healthcare industry standards and… more
- Select Medical (Canonsburg, PA)
- …detail-oriented, enjoy problem-solving, and want to grow your career in healthcare? Select Medical is looking for motivated individuals to join our team as Patient ... If so, the **Patient Account Representative** role at Select Medical could be the perfect fit for you! As...part of our team, you'll help resolve outstanding insurance claims , ensuring our patients are billed accurately and without… more
- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation...coding corrections via paper or electronic submission to the Follow up Team. 4. Reports coding trends and issues… more
- Robert Half Accountemps (Sacramento, CA)
- …within the designated system. * Record denials, zero payments, and flag accounts for follow -up by the Medical Collections team. * Apply takebacks and recoupments ... payer correspondence to the appropriate team members for timely follow -up. * Utilize knowledge of contracts and policies to...billing, coding, and payment posting. * Strong understanding of medical collections and claims processes. * Ability… more
- Commonwealth of Pennsylvania (PA)
- …which will require you to assist with activities such as seeking medical intervention, applying for entitlement programs, addressing eviction notices and placement ... more information on ways to meet PA residency requirements, follow the link (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) and click on Residency. +… more
- Commonwealth of Pennsylvania (PA)
- …agency with paid time off, paid sick time, employee assistance program, and family medical leave. Apply today to join us in serving the community! DESCRIPTION OF ... and reports to the service team. May educate/assist consumers with scheduling medical appointments. Participates in gathering data for the formal assessment of… more
- Lincoln Financial (Hagatna, GU)
- …organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you ... a clinical resource for Group Protection benefit specialists and claim professionals. You will evaluate medical information...this role you will provide coaching and guidance to claims regarding medical management. **What you'll be… more