- 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
- Houston Methodist (Houston, TX)
- …and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance Biller demonstrates general ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… 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
- Houston Methodist (Houston, TX)
- …AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- Intermountain Health (North Salt Lake, UT)
- …as needed on aging reports, reports all payor issues and/or denial trends to Lead/ Supervisor and may appeal and/or rebill underpaid claims and assist with ... Billing and Coding + Reimbursement + Billing Operations + Medical Billing Software + Insurance claims processing + ICD Coding + Patient Care + Medicare Billing… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42737BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, and documenting related account… more
- Beth Israel Lahey Health (Burlington, MA)
- …toward process improvements within the Central Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials, and ... documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands-on coding, documentation review, and other… 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
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more