- St. Luke's University Health Network (Allentown, PA)
- …review. Provides billing with information needed to obtain payment of claims . JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the ... Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists billing … more
- Cedars-Sinai (Los Angeles, CA)
- …Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's ... understanding of regulatory requirements, payor contracts and Cedars-Sinai policies governing billing and collections and sound interpretation. The Team Lead will… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Billings Clinic (Billings, MT)
- …charges. * Compliance and Quality Assurance: Ensure data accuracy prior to billing interface and claims submission, including discharge disposition, appropriate ... all full- and part-time employees (minimum of 20 hours/week), including Medical , Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution… more
- Covenant Health Inc. (Knoxville, TN)
- …Clinical Document Integrity Full-time, 80 hours per pay period, Days Covenant Medical Group is Covenant Health's employed and managed medical practice ... of daily operations and supervision of employees of the CDI department at Covenant Medical Group. Monitors the following on a daily basis to ensure goals are met… more
- Novant Health (Wilmington, NC)
- …and benefits, managed care and government payors. Basic accounting. Knowledge of Medical terminology and/or Medical claims . Demonstrates ability in ... a Patient Financial Navigator, you will play a crucial role in resolving billing and insurance concerns across acute care centers, ambulatory surgical centers, and… more
- J&J Family of Companies (Charlotte, NC)
- …and medical /buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior ... on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local… more
- Robert Half Legal (Chicago, IL)
- …to support claims . * Request and manage itemized bills and medical records from healthcare providers. * Maintain accurate records and ensure compliance with ... * Communicate effectively with clients, insurance adjusters, opposing counsel, and medical providers to facilitate case progress. * Coordinate with insurance… more
- AssistRx (Phoenix, AZ)
- …education and experience. + Other skills required: + Previous work experience in Medical Reimbursement or Customer Service. + Submitting billing data to ... You will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. + Single point of contact… more
- Catholic Health Initiatives (Omaha, NE)
- …High School Diploma or equivalent preferred Graduation from a post-high school program in medical billing or other business related field is preferred Two years ... based on EOBs, reimbursement, and payer specific requirements. + Resubmits claims with necessary information when requested through paper or electronic methods.… more