- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters,… more
- Humana (San Juan, PR)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims… more
- HCA Healthcare (Overland Park, KS)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... individual is recognized. Submit your application for the opportunity below: Medical Collections Specialist HCA Healthcare **Benefits** HCA Healthcare offers a total… more
- Omaha Children's Hospital (Omaha, NE)
- …position is responsible for providing direct supervision and daily management for insurance and government collections to include claims , A/R follow-up, denials ... (EDI) transaction formats, third-party payor contracts and federal and state medical coverage programs. They hold themselves accountable for professional development… more
- Omaha Children's Hospital (Omaha, NE)
- …position is responsible for providing direct supervision and daily management for insurance and government collections to include claims , A/R follow-up, denials ... (EDI) transaction formats, third-party payor contracts and federal and state medical coverage programs. They hold themselves accountable for professional development… more
- Elevance Health (Richmond, VA)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable… more
- Ellis Medicine (Schenectady, NY)
- The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not ... and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, ... with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted resource used in Benefit Administration Manual… more
- Access Dubuque (Dubuque, IA)
- …time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator **Our teams connect! We collaborate onsite and have… more
- Sedgwick (Irving, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative** **Our teams connect! We collaborate ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more