- Mount Sinai Health System (New York, NY)
- …in a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a nurse informaticist highly ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial,… more
- AdventHealth (Maitland, FL)
- …provider types Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics experience Proficiency ... language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
- Scripps Health (San Diego, CA)
- …and Thoracic Surgery Center (SCTSC) * SHPS also adjudicates some institutional claims for Mercy Physicians Medical Group (MPMG), Primary Care Associates ... in 4S Ranch/Rancho Bernardo. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.… more
- BrightSpring Health Services (Littleton, CO)
- …you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. The ... home. Schedule: Monday - Friday Hours vary *Competitive Pay * Health , Dental, Vision & Life Insurance *Company-Paid Short &...establish appropriate follow up. + Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500… more
- Atlantic Health System (Morristown, NJ)
- …EPIC Relevant Experience: + Minimum of 1+ years of experience in Patient Access, Medical Office, Health Insurance or relevant area. Atlantic Medical Group ... serving as an initial point of contact within our health system + Securing accurate information, + Interpreting and...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of … more
- Elevance Health (Chicago, IL)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis,...not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance … more
- CVS Health (Augusta, ME)
- …times -Promotes communication, both internally and externally to enhance effectiveness of medical management services and health care team. -Performs non- ... At CVS Health , we're building a world of health...**Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies… more
- Methodist Health System (Dallas, TX)
- …to four years of experience in healthcare revenue cycle management. - Proficiency in medical billing software EPIC and electronic health record (EHR) systems. - ... background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response...Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations. -… more
- Mount Sinai Health System (New York, NY)
- … System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across ... **Job Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees… more
- Molina Healthcare (Rochester, NY)
- …standards. **Knowledge/Skills/Abilities** * Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously ... years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review. **Required License, Certification, Association** Active,… more