- TEKsystems (Brookfield, WI)
- Description We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or ... for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a… more
- TEKsystems (Milwaukee, WI)
- MUST LIVE IN WISCONSIN TO BE CONSIDERED Job Description We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will ... for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a… more
- Oracle (Bismarck, ND)
- …complex clinical insights to diverse teams. + 3+ years of experience as a medical scribe, clinical documentation, medical billing or auditing, with a ... a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a myriad...medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance… more
- Trinity Health (Livonia, MI)
- …a hospital and/or Physician Practice environment and experience in revenue cycle, billing , coding and/or patient financial services. Charge control/capture work ... for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services… more
- City of New York (New York, NY)
- …Division are responsible for all medically related issues for medical management of workers' compensation claims. Responsibilities include: Consult managerial ... and legal staff in regards to medical necessity of treatment as it relates to injured...claims. Review and process high value and complicated in-patient billing . Coordinate with hospital administrators and social workers with… more
- Community Health Systems (Birmingham, AL)
- …and regulatory compliance, including adherence to HIPAA guidelines. + Collaborates with coding , billing , and clinical teams to resolve discrepancies in patient ... **Job Summary** The HIM Analyst is responsible for supporting the management and...information processes. **What We Offer:** + Competitive Pay + Medical , Dental, Vision, and Life Insurance + Generous Paid… more
- Waystar (Louisville, KY)
- …bachelor's Degree is required + Experience working in healthcare, whether it be medical billing , coding , administration, etc. is preferred + Experience ... **ABOUT THIS POSITION** The Strategic Solutions Analyst will act as a liaison between Waystar...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- AltaGas (Springfield, VA)
- **Job Description** **Position Summary** The Customer Experience Analyst reports to the Manager, Customer Experience and will support the utility's customer ... journeys, micro-journeys, and service blueprints tied to key utility programs ( billing , service initiation, energy assistance, rebates, etc.). * Deploy, manage, and… more
- Parkview Health (Huntington, IN)
- …for Parkview Health Systems/PRMC including Flight and EMS services. Determines appropriate coding / billing charges according to written procedures and criteria as ... it relates to ambulance coding . Assures timely turnaround of charts on a daily...be a High School graduate. Successful completion of a Medical Terminology course preferred. Licensure/Certification Must obtain Certified Ambulance… more
- CVS Health (Harrisburg, PA)
- …fraud waste and abuse business rules and leads designed to detect aberrant billing patterns and reviewing incoming referrals and leads to determine if additional ... data mining and analysis if needed to identify suspicious billing patterns. **Required Qualifications** + 3-5 years of data...background. + Experience with internal claims data and healthcare coding . + Must be able to travel to provide… more