- Robert Half Office Team (Indianapolis, IN)
- Description Join our team as a Medical Payment Posting Specialist and make a direct impact on the financial success of leading healthcare organizations. In this ... payment posting and financial reporting. Requirements + Previous experience in medical payment posting or revenue cycle operations preferred + Knowledge of… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- CareFirst (Baltimore, MD)
- …claim overpayment scenarios. Performs analysis on claims, provider data, enrollment data, medical policies, claim payment policies for payment integrity ... written and oral communication skills. + Ability to review and understand CareFirst medical policies, claim payment policies and provider manuals. + Microsoft… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, ... ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/ payment systems, provider billing guidelines, medical necessity criteria, and… more
- Highmark Health (Little Rock, AR)
- …to accepted and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of ... claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is...claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure… more
- LA Care Health Plan (Los Angeles, CA)
- …medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management ... Payment Integrity Nurse Coder RN III Job Category:...position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well… more
- Trinity Health (Davenport, IA)
- …Onsite - Davenport, Iowa (Pay Range: $17.1538-$25.7307) Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B ... assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate… more
- TEKsystems (Silver Spring, MD)
- …Any coding experience to help them get ahead on that is a plus Skills medical billing, Denials, payment posting, Reductions, medical billing and coding, ... of the day to day will focus on: - Payment Posting- They will review the bill, circle the...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- HCA Healthcare (Ocala, FL)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical /billing, medical payment posting, and/or cash ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...both written and telephonically + Overcome objections that prevent payment of the claim and gain commitment for … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to ... programs, etc.), determine financial responsibility, and/or to identify sources of payment for services * Requests, inputs, verifies, and modifies patient's… more
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