- Johns Hopkins University (Middle River, MD)
- …dissemination of patient Protected Health Information (PHI). + Working knowledge of medical billing applications. + Utilize online resources to facilitate ... efficient claims processing. + Knowledge of medical terminology,...or graduation equivalent. + One year experience in a medical billing , insurance follow-up processing, or similar… 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 ... serve as a pharmacy liaison and interface with finance, billing , revenue integrity, patient financial services, prior authorization teams,...- Rarely Thank you for your interest in Albany Medical Center!Albany Medical Center is an equal… more
- The Institute for Family Health (New Paltz, NY)
- …(preferably in healthcare) + A minimum of 3 years of medical billing experience required + Proficiency in EPIC claims processing workflows preferred + ... May develop workflows, standards, and work queue requirements for billing staff to ensure claims are captured,...GED required + Associates Degree preferred + Coding or Medical Billing Certification preferred + At least… more
- Molina Healthcare (Warren, MI)
- …an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care ... to providers. **Job Duties** + Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases,… more
- University of Rochester (Albany, NY)
- …review and resolution. + 5% Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ's to identify opportunities ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Integra Partners (Troy, MI)
- …to translated them into operational requirements + Strong understanding of DME billing guidelines, medical necessity criteria, coding protocols (ICD-10, HCPCS, ... The Medical Policy & Compliance Specialist is responsible for...expert on healthcare payer policies to develop and update billing procedures, assist with provider inquiries, identify compliance risks… more
- Ellis Medicine (Schenectady, NY)
- …the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with ... This position can be local or remote!! The Medical Coder II is responsible for the revenue...process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to… more
- Molina Healthcare (Rochester, NY)
- …an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. * Evaluates medical records and/or ... standards. **Knowledge/Skills/Abilities** * Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously… more
- Rush University Medical Center (Chicago, IL)
- …Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: HB Govt Billing -Collections **Work Type:** Full Time ... is to manage the open receivable including, securing reimbursement, guarding the Medical Centers assets, minimizing financial risk, working on behalf of our… more
- Shuvel Digital (Lawrenceville, NJ)
- …make corrections and ensures accuracy for the days work. + Researches all utilization review claims for accuracy prior to billing on a timely basis. + Analyzes ... accurately the hold report to release all possible claims . + Processes the monthly renal dialysis billing within guidelines on a timely basis. + Reports any… more