- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …when appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the utilization review ... Collaborates with nursing, physicians, admissions, fiscal, legal, compliance, coding, and billing staff to answer clinical questions related to medical necessity and… more
- Elevance Health (Lake Mary, FL)
- …and re-credentialing files, electronic and paper. + Effectively communicates with admission, billing , and clinical teams in a professional manner. + Reviews all ... maintenance and updates. + Medicaid administrator user access for billing . + Pull Medicaid remits for billing ...is limited. + Manage PBM credentialing requests and maintenance. Medicare (PECOS) processing for all pharmacy sites. + Maintain… more
- WellSpan Health (York, PA)
- …when coding and/or compliance issues are found. + Identifies denial trends, billing errors, and determines root cause to prevent future denials. + Investigates ... billing system errors, through help desk tickets and work...courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for… more
- CenterWell (Texarkana, AR)
- …as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed ... is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / personnel… more
- HCA Healthcare (Nashville, TN)
- …and reports to leadership 2 Job Description + Works with team members in billing , revenue integrity and/or the Medicare Service Center to resolve alerts/edits + ... research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit,… more
- Northern Light Health (Brewer, ME)
- …Week: 10.00 Work Schedule:No Hours Assigned *Temporary Position* Summary: The Coding Specialist is responsible for coordination of and participation in the coding ... and billing process of the organization. Responsibilities include analyzing the...requirements, patient eligibility, and coding denial resolutions. The Coding Specialist is responsible for continuing education requirements of the… more
- FlexStaff (Chappaqua, NY)
- …THE OFFICE 3 DAYS A WEEK- YOU MUST RESIDE LOCALLY* The candidate MUST HAVE Medical Billing & AR Experience- Experience in Medicare Part B and in Network Managed ... Our client is seeking a skilled Medical Biller/Accounts Receivable Specialist with a minimum of 2 years of experience...a minimum of 2 years of experience in medical billing , including filing claim appeals. The ideal candidate will… more
- University of Washington (Olympia, WA)
- …activities related to of abstract Diagnosis Related Group (DRG) coding and billing + Analyzes the medical record to assign International Classification of Diseases ... record from governance, integrity, documentation timeliness, completion, clinical coding, billing , release, and tracking to management of access, retention, and… more
- Highmark Health (Nashville, TN)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- University of Washington (Seattle, WA)
- …research procedures in alignment with CMS rules and analyze audit-ready study billing grids. + Analyze industry sponsor budget proposal, clinical trial protocol and ... staff and practice site staff on research budgeting and billing policies, procedures, and tools. + Provide excellent customer...in a group environment. + Working knowledge of the Medicare Clinical Trials Policy and other Federal, State and… more