- AmeriHealth Caritas (Philadelphia, PA)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; ... ensure proper handling of the appeal eg UM team, medical directors, claims , contact center, vendors as...decision and options for moving forward + Initiate and follow up on effectuations (um authorization update/ claim … more
- Commonwealth of Pennsylvania (PA)
- …getting to know participants and becoming familiar with their plans of care and medical diagnoses. Training will be provided for you to become certified in First ... 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
- The County of Los Angeles (Los Angeles, CA)
- …Opening Date 09/03/2025 + Description + Benefits + Questions Position/Program Information Follow us on Social Media! EXAM NUMBER: R0647I-R TYPE OF RECRUITMENT: This ... needs of the service are met and is subject to closure without notice. Follow us on Social Media! Essential Job Functions Withhold Information: No withholds will be… more
- Community Health Systems (Franklin, TN)
- …The Collections Specialist I - Medicaid is responsible for performing collection follow -up on outstanding insurance balances, identifying claim issues, and ... or healthcare revenue cycle operations required + Experience working with insurance follow -up, claim resolution, and payer communication in a healthcare setting… more
- Trinity Health (Livonia, MI)
- …edit features to resolve edits prior to completing coding. Interprets, researches and resolves claim edits that occur after coding to support timely final claims ... Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American… more
- Robert Half Accountemps (Syracuse, NY)
- …payors or clients in accordance with established billing schedules. * Conduct timely follow -up on outstanding claims and invoices to optimize revenue collection. ... Description We are looking for an experienced Medical Billing Specialist to join our team in...processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a… more
- Fairview Health Services (St. Paul, MN)
- …reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals ... and stays abreast of ICD-10-CM and ICD-10-PCS, coding principles, medical terminology, governmental regulations, protocols and third-party payer requirements… more
- Commonwealth of Pennsylvania (PA)
- …violation centers or state correctional institutions, as well as reviewing their medical and mental health records to determine the most appropriate placement for ... 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
- CenterWell (Independence, MO)
- …the **Branch Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of ... + Process signed and unsigned orders and 485s. + Follow up on the Order Tracking Report weekly and...computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This… more
- Select Medical (Canonsburg, PA)
- …Representative - Workers' Compensation** Start your career in healthcare with Select Medical ! We are hiring a full-time Patient Account Representative to join our ... evenings, weekends, or holidays. **Why You'll Love Working with Us ** At Select Medical , your growth and success are our priority. When you join our team, you'll… more