- Johns Hopkins University (Middle River, MD)
- …+ High School Diploma or graduation equivalent. + One year experience in a medical billing, insurance follow-up processing , or similar medical specialty ... Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Centene Corporation (New York, NY)
- …IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations. + Apply Coding Guidelines as described in ... requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues....plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . + Collaborate with appropriate departments to generate ... place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United...processing and coding. + Escalates system issues preventing claims submission and follow-up for review and resolution. 5%… more
- Aston Carter (Salem, OR)
- …data manipulation and use of data analysis tools. + In-depth understanding of claims processing , clinical edits, fee schedules, and payer contracts. + Proficient ... Prior experience in initiating and leading performance improvement projects within a medical coding environment. + Understanding of EHR, Claims Adjudication… more
- US Tech Solutions (Columbia, SC)
- …protocol sets or clinical guidelines. + Provides support and review of medical claims and utilization practices.. **Responsibilities:** + May provide any ... **Location: Columbia, SC 29229** **( Remote after training)** **Duration: 3+ Months Contract** **(Possible...of the following in support of medical claims review and utilization review practices:… more
- Norstella (Topeka, KS)
- Sr. Medical Analyst, RWD Company: MMIT Location: Remote , United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Robert Half Office Team (Mountlake Terrace, WA)
- …cross-functional collaboration to enhance policy implementation and claims processing . Responsibilities: * Analyze and interpret medical policies to ... detailed assessments to enhance consistency in claims processing . * Support the development of medical ...to work independently and manage multiple priorities in a remote work environment. TalentMatch(R) Robert Half is the world's… more
- Trinity Health (Livonia, MI)
- …by policy. + Interfaces with THAH to resolve problems related to the processing of bills/ claims . Investigates client accounts and provides any additional ... The Authorization Specialist is responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and… more
- Cardinal Health (Sacramento, CA)
- Hybrid or Remote position Schedule: Monday - Friday, 8:00 AM.... + Acts as a subject matter expert in claims processing . + Manages billing queue as ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Healthfirst (NY)
- …performance to ensure the quality of the network.** + **Review and investigate claims and encounters for medical , facility, pharmacy, dental and vision services ... **This position is 100% Remote .** **Scope of Responsibilities:** + **Conduct moderately complex...staff.** + **Complete subsequent auditing and handling of specific claims and appeal requests including processing where… more