• Claims Resolution Specialist

    Prairie Ridge Health (Columbus, WI)
    Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible...18 months of hire, unless existing Certified Professional Coder ( CPC ) is held. + Experience with paper and electronic… more
    Prairie Ridge Health (04/13/25)
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  • AR Revenue Cycle Specialist III

    Johns Hopkins University (Middle River, MD)
    …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for ... We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the...be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and… more
    Johns Hopkins University (03/25/25)
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  • Insurance Specialist I - Corporate Patient…

    Guthrie (Sayre, PA)
    …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
    Guthrie (04/17/25)
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  • Senior Billing Specialist -Obstetrics…

    Mount Sinai Health System (New York, NY)
    …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250...relevant experience + CPC Preferred + Training in computerized medical billing +… more
    Mount Sinai Health System (03/05/25)
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  • Claims and Denials Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ... with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an...relates to general and near vision. EDUCAT I ON: CPC or CCA certification required. TRA I NING AND… more
    St. Luke's University Health Network (04/19/25)
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  • Medical Billing Operations Specialist II

    GRAIL (Durham, NC)
    …Billing Operations Specialist II who will be responsible for insurance claims follow-up, denial management, and appeals support. This position will monitor the ... + Assist the billing vendor with the creation of claims appeals and monitor their resolution . +...of Professional Coders / AAPC). + Certified Professional Coder ( CPC ) or Certified Medical Reimbursement Specialist (CMRS)… more
    GRAIL (04/26/25)
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  • Procedural Billing Specialist II- Oncology…

    Mount Sinai Health System (New York, NY)
    …and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue ... **Job Description** **Procedural Billing Specialist II- Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days** Responsible for… more
    Mount Sinai Health System (04/16/25)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    …cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in… more
    Methodist Health System (03/13/25)
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  • Medical Billing & Coding Specialist

    Arab Community Center for Economic and Social Serv (Dearborn, MI)
    …Full-time Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services ... Billing and Coding Certificate or Degree in field, Certified Professional Coder ( CPC ), Nationally Registered Certified Coding Specialist (NRCCS) or Registered… more
    Arab Community Center for Economic and Social Serv (03/14/25)
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  • Pre-Certification Specialist

    University of Michigan (Ann Arbor, MI)
    …lists, update the patient class as appropriate and follow-up on OB admission claims issues until resolution when needed. + Clearly and thoroughly document ... Pre-Certification Specialist Apply Now **How to Apply** A cover...contacts, outcomes and interventions to assure appropriate payment of claims . + Provide and discuss authorization status information to… more
    University of Michigan (04/15/25)
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