- Shuvel Digital (Lawrenceville, NJ)
- Medical Biller Remote Summary: Ensures responsibility for all aspects of both electronic and hard copy claim submissions. Education: High school diploma or GED. ... Experience: ESSENTIAL FUNCTIONS + Ensures responsibility to download claims from HBOC and upload claims to...+ Reports any trends and anomalies to Patient Accounts Supervisor and Patient Accounts + Manager in a timely… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...may be required to submit documentation from a qualified medical provider or other qualified professional to support your… more
- Bozeman Health (Bozeman, MT)
- …Bozeman Health and all related entities, hospital (HB) and/or professional (PB) claims from third party payers. Supports the timely development and accurate ... submission of claims to third party payers to include insurance follow-up...well escalating identified concerns to the HB or PB Supervisor . Collaborate and coordinate with other Revenue Cycle functions… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor /manager on communication to payer ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, ... Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical ...and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. +… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43110BR** **Extended Job Title:** Medical Billing Associate **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Employees in this ... updating account information, correcting edits, performing follow-up on unpaid claims , billing or re billing claims to...pay eligibility GERDS. + Other duties as assigned by Supervisor and/or Manager. + Remains current with all licensure,… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- CHS (Clearwater, FL)
- …**Experience and/or Education:** + High school graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is ... **Overview** ** ** ** Medical Insurance Call Center Representative | Member and...product they offer. Each Team is managed by a Supervisor , responsible for delivering service excellence and provided the… more
- Northern Rivers Family Services (Albany, NY)
- A/R Medical Billing Associate Job Details Job Location Albany-Academy Main-NRFS - Albany, NY Position Type Full Time Salary Range $26.00 - $30.00 Hourly Travel ... Percentage None Description As an Accounts Receivable Medical Billing Associate, you will bill for program services...to insurance providers (including Medicaid) through electronic or paper claims . + Perform posting charges and completion of … more
- PruittHealth (Norcross, GA)
- …EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and complexity, information ... all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for… more