• Claims Review Analyst

    WellSpan Health (York, PA)
    …reviews comparing medical record documentation to validate charge capture, medical necessity, and coding accuracy. + Investigates and recommends action ... help desk tickets and work queues, due to potentially inappropriate documentation, coding , medical necessity or charge entry. Communicates with departments,… more
    WellSpan Health (08/19/25)
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  • Director of Professional Revenue Cycle - Corporate…

    Truman Medical Centers (Kansas City, MO)
    …billing systems** , reporting tools, and Microsoft Office + Strong understanding of ** medical terminology** and coding principles + A leader who listens, ... Director of Professional Revenue Cycle - Corporate Professional Billing 101 Truman Medical Center **Job Location** University Health 4 (UH4) Kansas City, Missouri… more
    Truman Medical Centers (09/09/25)
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  • Medical Biller

    Kelly Services (St. Louis, MO)
    …strong analytical skills, exceptional communication abilities, and a thorough understanding of medical billing processes and insurance guidelines. This is a ... contract position. **Responsibilities** + ** Medical Billing & Coding ** : Accurately enter...articulate appeal letters for denied claims, ensuring compliance with insurance protocols and maximizing reimbursement. + ** Medical more
    Kelly Services (08/16/25)
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  • Inpatient DRG Reviewer

    Zelis (St. Petersburg, FL)
    …and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and ... and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root...paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical , dental,… more
    Zelis (09/02/25)
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  • Insurance Denial Specialist

    Insight Global (Miami, FL)
    …Skills and Requirements - High School or GED - Minimum 1+ years of medical insurance collections experience o Etna, cigna, united healthcare - Knowledge of ... of all transactions, and account resolution - Maintains active communications with insurance carriers and third-party carriers until account is paid. - Negotiates… more
    Insight Global (09/09/25)
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  • Certified Clinical Medical Assistant - 24…

    Samaritas (Holland, MI)
    …Benefits Available:Dental, Earned Sick Time, Employee Discounts, Holiday Pay, Life Insurance , Medical Insurance , Paid Time Off, Retirement, ... the first of the month following 30 days of employment + Company paid Basic Life Insurance ...and maintains patient confidence by completing, maintaining and safeguarding medical records; completing diagnostic coding and procedure… more
    Samaritas (07/30/25)
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  • Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …set by the executive leaders of Risk Adjustment ensuring accurate diagnosis risk coding and achieving related revenue targets.The role is responsible for helping to ... position will be responsible for program integrity relating to coding & documentation and will oversee the team responsible...To partner with provider offices to obtain the right medical records at the right time and accurately document… more
    Corewell Health (07/21/25)
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  • Bilingual- Medical Claims Specialist…

    Kelly Services (Glastonbury, CT)
    …Comfortable working with diverse populations and high-volume workloads **Certifications:** + ** Medical billing/ coding or insurance claims processing ... while maintaining accuracy and professionalism. **Key Responsibilities:** + Process and adjust medical insurance claims in accordance with company policies and… more
    Kelly Services (09/04/25)
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  • Insurance Receivable Specialist II

    University of Utah Health (Salt Lake City, UT)
    …For use in RCSS only. This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account ... hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. **Responsibilities** + Performs … more
    University of Utah Health (09/10/25)
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  • Medical Records Retrieval Representative

    Humana (Oklahoma City, OK)
    …Wagoner, or Creek + Ability to travel overnight occasionally **Preferred Qualifications** + Medical billing and coding experience (ie ICD-10 codes) + Knowledge ... of our caring community and help us put health first** The Medical Records Retrieval Representative (Risk Adjustment Representative 2) conducts quality assurance… more
    Humana (09/11/25)
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