- Molina Healthcare (Nampa, ID)
- …and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information ... recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and...+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of… more
- Baystate Health (Springfield, MA)
- …diversified duties in connection with reviews of medical record documentation for professional billing to ensure it meets the AMA and CMS ( Medicare ) guidelines ... using MDAudit based on determined intervals per provider. Validates appropriate billing and documentation that complies with governmental and commercial carrier… more
- BrightSpring Health Services (Louisville, KY)
- …of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks + Researches, analyzes and appropriately resolves ... rejected claims by working with national Medicare D plans, third party insurance companies and all...resolves at risk revenue associated with payer set up, billing , rebilling and reversal processes + Works as a… more
- Cedars-Sinai (Los Angeles, CA)
- …a key resource for external partners, offering guidance on transplant-related services and billing processes. The analyst may be on-call after hours and on weekends ... and obtain necessary authorizations for transplant-related services. + Support billing and reimbursement processes for transplant patients. + Facilitate patient… more
- The Institute for Family Health (New Paltz, NY)
- …This position requires advanced working knowledge of medical accounts receivable billing and collections. Must demonstrate the ability to complete work in ... following: 1. Self-pay/Sliding Fee 2. Managed Care Plans 3. Medicaid 4. Medicare 5. Commercial Plans 6. Payment/denial posting RESPONSIBILITIES: + Ability to perform… more
- Lincoln County (Newport, OR)
- …person in this role will review medical claims, prior and subsequent to billing , to ensure accuracy and facilitate reimbursements. As well as applying bookkeeping ... Life Insurance + Employee Assistance Programs (EAP) Essential Functions/Major Responsibilities Billing and Coding: + Review charges prior to initial claims… more
- Therapeutic Alliance, LLC (Sterling, VA)
- …based on results. + Directly support a caseload of RBT and BT staff billing 300 hours weekly + Assist in preparing individualized treatment and behavior support ... employees around topics that are pertinent such as communications, branding, billing , and training. Policy and Internal Regulatory Compliance (estimated 2 weekly… more
- Premier Health (Dayton, OH)
- Position: Patient Accounts Associate Department: Patient Finacial Services - PFS MEDICARE Shift: 8AM-4:30PM Status: Full-time/ 80 hours per pay period Facility: ... supervision of Patient Financial Services Supervisor, this position will be responsible for billing and collection of third party claims, posting of billing and… more
- Hackensack Meridian Health (Neptune City, NJ)
- …incoming referrals and obtaining necessary documentation to support clean billing . Demonstrate optimum customer service skills. Perform authorization and ... off to F2F team with appropriate information. + Knowledgeable in current Medicare reimbursement criteria and insurance contracts for the organization product lines.… more
- HCA Healthcare (Nashville, TN)
- …Coding Team test work includes performing inpatient and outpatient coding/ billing audits, Clinical Documentation Improvement (CDI) audits, and special project ... do in this role: + Performs inpatient and outpatient coding/ billing audits, CDI audits and special project reviews. +...as a RHIA or RHIT, with CCS preferred + Medicare Inpatient and Outpatient Coding Experience + Specific Testwork… more