- Urology Clinics of North Texas (Mesquite, TX)
- …infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow -up on claims , accurate posting of adjustments, and effective patient ... tasks and utilize tasking tools to manage workflow. + Follow up on all oncology claims from...office-administered medications and infusion services. + Strong knowledge of medical terminology, insurance plans, claims , and billing… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction ... and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and ...- Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides… more
- Novant Health (Charlotte, NC)
- …patient. Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. ... patients and staff for billing and insurance questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution process. + Enters… more
- Elevance Health (Mason, OH)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... works with one provider type, eg physician, ancillary, or medical group. Provides advice and analytic support to ...and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Molina Healthcare (Nampa, ID)
- …the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- UNC Health Care (Kinston, NC)
- …eligibility, prior authorizations, payment posting, patient accounts receivable management and follow up, charge entry, EDI/ claim submission/ claims ... The DME Billing Manager oversees the day-to-day operations of Down East Medical Supply's revenue cycle process including referral intake, billing, collections,… more
- University of Rochester (Rochester, NY)
- …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
- Globus Medical, Inc. (Collegeville, PA)
- At Globus Medical , we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is ... patients can resume their lives as quickly as possible. Nevro (A subsidiary of Globus Medical ) is a global medical device company. We are focused on delivering… more
- Elevance Health (Richmond, VA)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Elevance Health (Las Vegas, NV)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more