- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Zelis (St. Petersburg, FL)
- …understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical ... integrity market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical … more
- Whitney Young Health Center (Watervliet, NY)
- …. Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
- Guidehouse (Lewisville, TX)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing, coding , follow-up, finance, accounting or customer service related ... Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of...billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the… more
- HCA Healthcare (Nashville, TN)
- …**Sign-On Bonus Eligible Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. We ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- Molina Healthcare (St. Petersburg, FL)
- **Molina Healthcare of Florida** is hiring for several Claims Examiners. These positions are remote; however, all candidates **must reside in the state of ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...of claims . + Manages a caseload of claims . Procures all medical records and statements… more
- HCA Healthcare (Denver, CO)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We ... have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider...of colleagues. Do you want to work as a Medical Insurance Claims Representative where your passion… more
- Molina Healthcare (Owensboro, KY)
- … Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses ... to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of … more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing & Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2402723&source=2402723-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status:… more
- Prime Healthcare (Ontario, CA)
- …to all levels using Microsoft Office applications. + Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.) Preferred qualifications: + Certified ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...Professional Coding Certification, AIC, ARM, or equivalent. + Familiarity with… more