- Excellus BlueCross BlueShield (Buffalo, NY)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... we encourage you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement… more
- Methodist Health System (Dallas, TX)
- …* High School Diploma and minimum one year relevant experience * 1 year medical payment posting * Ability to analyze Explanation of Benefits statements * ... accounts. You will post and balance accounts receivable insurance and patient payments while resolving payment disputes in a timely manner. Your Job Requirements:… more
- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics + Direct and ... direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
- Beacon Mobility (Merriam, KS)
- …DOT regulations. Benefits Available + Training $14.50 + Safety & Attendance Bonus + Medical Fixed- Payment Indemnity + Dental + Vision + Accident Plan + Critical ... and not having significant disciplinary issues. Fully Credentialed Bonus Payment : The sign-on bonus will be paid in three...paid out after 270 days on route. Non-CDL Bonus Payment (Candidates need to complete training and be fully… more
- Beacon Mobility (Oak Grove, MO)
- …DOT regulations. Benefits Available: + Training $15.45 + Safety & attendance bonus + Medical Fixed- Payment Indemnity + Dental + Vision + Accident Plan + Critical ... and not having significant disciplinary issues. Fully Credentialed Bonus Payment : The sign-on bonus will be paid in three...paid out after 270 days on route. Non-CDL Bonus Payment : The sign-on bonus will be paid in three… more
- Zelis (Plano, TX)
- …writing SQL queries + A good understanding of public and private healthcare payment systems, medical claims, standard claim coding, claim editing, contracting, ... rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of healthcare… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …deployment. This work includes a variety of modeling and analytics to support medical economics, payment integrity, and various other areas of finance. ... care delivery system and health plan operations, including knowledge of Medical Economics, Trend Management, Pricing, Forecasting, Provider Payment … more
- Elevance Health (Richmond, VA)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies,… more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... with policies and procedures. You will: + Research over and under- payment inquiries/appeals + Compile and maintain statistical data consistent + Maintain… more
- Elevance Health (Roanoke, VA)
- …working with ICD-9/10CM, MS-DRG and APR-DRG. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance...Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Manager of DRG Coding Audit &… more