- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …each opportunity. The role also includes the development and communication of market segment medical claims expense trends with the aim to provide insights that ... analytics to support the Business Segment, Trend Oversight and Medical Cost Council teams as well as BCBSMA Account...improve members health and health care quality and moderate claims trends + Design, implementation, and measurement of account… more
- Robert Half Accountemps (Alhambra, CA)
- …Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims . The Medical Collections Specialist ... Description A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical … more
- Robert Half Accountemps (Fayetteville, NC)
- … billing practices and excellent organizational skills. Responsibilities: * Review and process medical claims with accuracy and attention to detail. * Verify ... Description We are looking for a detail-oriented Medical Billing Specialist to join our team on...billing. * Resolve discrepancies and follow up on denied claims to maximize reimbursement. * Maintain compliance with state… more
- The Kidney Experts, PLLC (Jackson, TN)
- …billing assistant is responsible for aiding the Billing Manager in processing medical claims , working claim denials, assessing insurance discrepancies, and ... payments. Duties and Responsibilities + Preparing and submitting billing data and medical claims to insurance companies + Ensuring each patient's medical … more
- Saint Luke's (Kansas City, MO)
- … claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies. Resolving claim edits, working ... or Coding Certifications. Claim Edits * Responsible for researching patient billing claims to identify and correct coding/claim errors * Responsible for researching… more
- Elevance Health (FL)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This… more
- Houston Methodist (Houston, TX)
- …and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently ... coding team and clinical staff when coding related, and medical necessity appeals are warranted. **FINANCE ESSENTIAL FUNCTIONS** +...through varying methods to follow up on receipt of claims and bills, and to resolve outstanding account balances.… more
- State of Georgia (Fulton County, GA)
- …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... of clinical experience; additional years of experience in the analysis of medical claims and/or claims data; experience in the detection and investigation… more
- Baylor Scott & White Health (Austin, TX)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …liability, maritime, workers' compensation, road hazards, civil rights, transportation and medical malpractice claims . Oversees the direction and outcome of ... exposures. ORM is also responsible for managing all tort claims made against the state or any of its...ORM contracts with a third party administrator to provide claims adjusting and loss prevention services, however ORM retains… more