Analyzes invoice with no adjudication status to facilitate timely reimbursement for 1 billion + annual billing of provider services. Reviews, researches, and corrects TES edits, eligibility and registration corrections. Ensures that claims meet billing guidelines for assigned carriers. Uses GE IDX ETM to ensure the claims status is changed to ensure successful resubmissio

JOB DESCRIPTION Position Type Full time Type Of Hire Experienced (relevant combo of work and education) Education Desired Bachelor of Business Management Travel Percentage 10 15% Job Description Are you curious, motivated, and forward thinking? At FIS you'll have the opportunity to work on some of the most challenging and relevant issues in financial services and technolo

Coding Compliance Auditor (HIM Inpatient) HIM Financial Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Alhambra, California In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS DRG validation purposes

Aya Healthcare has an immediate opening for the following position Claims Examiner in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Examiner experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to exc

The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Pro

Conducts internal investigations; coordinates and conducts litigation with MedStar attorneys and outside counsel, including handling service of complaints, managing paper and electronic discovery data collection, coordinates and conducts witness interviews; coordinates with outside counsel regarding depositions, court deadlines and trial calendars. Works with counsel on l

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She will f

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

This position supervises a staff of medical coders, either inpatient or outpatient, and related support positions across all entities that are owned or managed that have opted into shared services. 100% remote This is a remote position eligible for hire from Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mi

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Person Memorial Hospital Who We Are Our passion and purpose at Person Memorial Hospital are centered around people. We value individuals for who they are, not just for what they can do. Our fully accredited, 98 bed hospital has modern facilities and state of the art equipment to provide the highest quality healthcare. We offer four fully digital operating rooms, post anes

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for managing patient account balances including accurate claim submission, compliance will all

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Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit

The Claims Supervisor will play a crucial role in ensuring the efficient and accurate processing of healthcare claims within our organization. You will lead a team of claims analysts, oversee claim submission, review, and adjudication processes, and collaborate with various stakeholders to maintain high quality claims management practices. This role demands strong leaders