- 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
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... revenue cycle activities for prior authorizations, documentation, billing and claims . Understands regulatory and third party payer guidelines for admissions,… more
- Sedgwick (Grand Rapids, MI)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to service instructions and reserve protocols; conducting client-specific audits; monitoring audit compliance; and resolving issues in collaboration with Quality and… more
- Terumo Medical Corporation (Somerset, NJ)
- …08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...issues or discrepancies. + Maintain meticulous documentation throughout the audit process, ensuring thorough records are available for reference… more
- Albany Medical Center (Albany, NY)
- …billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are ... reimbursement and compliant charging + Develop quality metrics and audit methodologies to drive accuracy and first-time quality for...- Rarely Thank you for your interest in Albany Medical Center!Albany Medical Center is an equal… 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 ... any blatant compliance issues. + Accurately documents findings from audit on standard forms. + Participates in interviews of...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
- Community Health Systems (La Follette, TN)
- …of experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required + ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- MyFlorida (Tampa, FL)
- …or in person regarding tax payments. The incumbent will: + Examine and audit purchase and sales documents including receipts, invoices, business records, and related ... information entered into database(s) to assure relevancy and comprehensiveness of input for audit and enforcement purposes. + Consult with or assist taxpayers in the… more
- Sedgwick (Miami, FL)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
- Fresenius Medical Center (Pittsburg, CA)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing… more