- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related ... coordinating follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future downgrades by… more
- Medical Express Ambulance Service (Skokie, IL)
- …Accounts Receivable Specialist . Responsibilities include accurate data entry, coding, medical necessity, and follow up of ambulance claims submissions. ... and excellent communication and computer skills. A good understanding of medical terminology and commercial insurance guidelines is necessary. Excellent salary and… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- Summary The incumbent serves as a Supervisory Mobility Transportation Specialist - Mobility Manager and manages all Veterans Transportation System (VTS) and ... including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers,… more
- HCA Healthcare (Miramar, FL)
- …individual is recognized. Submit your application for the opportunity below:Collections Specialist at the East Florida CBO with HCA Surgery Ventures **Benefits** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...may vary by location._** We are seeking a Collections Specialist for our team to ensure that we continue… more
- Henry Ford Health System (Troy, MI)
- …workflows, and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to ensure compliant ... claims are sent to payers. The CBO Coding Senior Specialist works independently to resolve complex diagnostic accounts. The CBO Coding Senior Specialist helps… more
- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. **Current ... certification in medical coding from an accredited institution (such as AAPC...in the field in required.** The Certified Professional Coding specialist will work as a compliance team member to… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …or healthcare environment (preferably in a call center or claims processing). + Medical call center or medical claims experience preferred. + Quality ... Under direct supervision of the department manager or supervisor, the Specialist , Pharmacovigilance is focused on meeting ConnectiveRx's obligations for Drug Safety… more
- State of Montana (Helena, MT)
- …Medicaid and Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring ... /**/ *Qualifications for this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing, medical terminology and coding principles and… more
- UIC Government Services and the Bowhead Family of Companies (Fort Eustis, VA)
- **Overview** LOGISTICS MANAGEMENT SPECIALIST (TRADOC): Bowhead seeks a Logistics Management Specialist to support operations to the US Army Training and Doctrine ... (TRADOC) Surgeon's Office located in Fort Eustis, VA. The Logistics Management Specialist will provide oversight, analysis, planning, and coordination of medical … more