- Deloitte (Jacksonville, FL)
- …medical center and health system in the Southeast region. + Conduct Epic Hospital Billing application build, testing, refinement, and issue resolution, ... Resolute Hospital Billing Certification + Deep Epic Resolute Hospital Billing application expertise + Experience with other Epic Revenue Cycle… more
- Guidehouse (Tampa, FL)
- …Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position ... Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving… more
- HCA Healthcare (Fort Pierce, FL)
- …HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, ... codes, diagnoses, and patient liability), and full understanding of hospital /physician billing .** + **Demonstrated communication and** **problem-solving**… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Zelis (St. Petersburg, FL)
- …+ Conduct detailed review of hospital itemized bills for identification of billing and coding errors for all payor's claims + Contribute process improvement ... and clinical concepts + Understand payor policies and their application to claims processing + Prepare and...of claims + General knowledge of provider claims / billing , with medical coding and billing… more
- Insight Global (Sarasota, FL)
- …Diploma/GED 4 years of Medicaid billing and collections experience 2+ years of hospital billing experience DDE - Direct Data Entry experience Knowledge of a ... systems to ensure timely reimbursement. Resolves RTP and denied claims , and maintains the electronic Medicaid billing ...a reasonable accommodation due to a disability during the application or recruiting process, please send a request to… more
- Elevance Health (Lake Mary, FL)
- …assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- Elevance Health (FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital -Acquired… more
- Oracle (Tallahassee, FL)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... clinical validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities to… more