- Robert Half Accountemps (Sacramento, CA)
- … billing processes? Robert Half's Healthcare Practice is seeking an experienced Medical Payment Poster for a contract-to-hire opportunity in Sacramento, CA. ... team and contribute to their revenue cycle management processes. As a Medical Payment Poster, you will play a critical role in ensuring flawless application… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for a detail-oriented Medical Payment Poster Specialist to join our team on a Contract to permanent basis in Sacramento, California. ... with healthcare billing procedures. Ideal candidates will bring prior experience in medical payment posting or medical billing, along with the ability to… 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
- UPMC (Pittsburgh, PA)
- …+ Lead impactful projects: Drive initiatives that monitor and adapt to changes in payment and medical policy. + Be the subject matter expert: Advise leadership ... At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in...insights + Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align edits with… more
- Elevance Health (Atlanta, GA)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the total value of our trend management initiatives in the areas of medical policy, payment policy, care management, pharmacy, health and wellness programs, ... to support new trend management initiatives in the areas of medical policy, payment policy, care management, pharmacy, behavior change, health and wellness… more
- Novant Health (NC)
- …and welcomes patient telephonically. Verifies and corrects patient demographics and updates medical insurance or payment sources. Supports other duties related ... What We Offer The Certified Medical Assistant - Virtual will function in a...patient chart is complete. Interview patient to identify current medical needs and relevant patient history. * Immunizations: Ability… 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
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