- Nuvance Health (Danbury, CT)
- …with CMS requirements, guidelines, and standardized published criteria to support the medical necessity of patient admission and continued hospital stays. This role ... payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for… more
- Trinity Health (Ann Arbor, MI)
- …courses preferred. + Experience: 3-5 years of experience in a medical or physician office or comparable healthcare environment required. **ESSENTIAL FUNCTIONS ... scheduled services to facilitate accurate assignment of financial responsibility and claims submission. + Responds to problems and questions from Clinical… more
- Hunterdon Health Care System (Flemington, NJ)
- …establish goals. + Responsible for the timely and accurate submission of claims , paper and electronic and/or electronic personal statements. Qualifications + Minimum ... assist at other locations for coverage issues as necessary. + Preferred: + Medical office experience and familiarity with medical terminology preferred. Strong… more
- YAI (Manhattan, NY)
- …of assignment, providing education and/or troubleshooting billing system and electronic medical record issues or redirecting inquiries to appropriate parties for ... to support automated billing processes and/or transmits or resubmits corrected claims electronically in accordance with applicable agency requirements. + Reconciles… more
- Health Care Service Corporation (Richardson, TX)
- …providing assistance to members, and analyzing member needs. + Basic knowledge of medical or healthcare terminology. + Knowledge of clinical systems ( claims , ... external stakeholders. **Preferred Job Qualifications** **:** + College courses in medical field, human services, social work, psychology or related healthcare field… more
- Penn Medicine (East Petersburg, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... denial recovery procedures needed to appropriately and accurately resolve denied claims . + Processes required adjustments to accounts, including charges credits,… more
- Mentor Technical Group (Carolina, PR)
- …the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines. With offices in Caguas, PR, ... performance including but not limited to investigation reports, injury reports, insurance claims , performance metric reports, etc. + Take necessary steps to ensure a… more
- Guidehouse (Birmingham, AL)
- …write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party ... of related experience and general knowledge of payer-specific or medical billing. **What Would Be Nice To Have** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Prysmian (Highland Heights, KY)
- …product knowledge through internal and/or external trainings + Process customer returns and claims in a timely manner and initiate corrective action if necessary + ... disability, military service and veteran status, pregnancy, childbirth, and related medical conditions, or any other characteristic protected by applicable federal,… more
- Queen's Health System (Honolulu, HI)
- …health plans and other third party payor requirements, as assigned. * Ensures accurate claims submission to optimize revenue for the Medical Center, as assigned. ... Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. * Knowledge of medical terminology. * Experience and/or background to demonstrate effective written and… more