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

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.

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

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

The Special Investigations Unit is responsible for investigating and resolving high complexity healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. This position researches, gathers, and analyzes claims data, medical records, corporate policy, state/federal policy, and practice standards to identify trends, patterns, aberrancies, and o

Coding Compliance Auditor (HIM Inpatient) HIM Financial Full Time 8 Hour Days (Non Exempt) (Non Union) Apply 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 pu

Responsible for processing medical claims. Resolves complex, difficult or non routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or non routine incoming and o

Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third party payer reimbursement programs. Reporting to the System Vice President of Contracting

Claim Specialist II ID 2024 23167 Location Professional Fee Billing Work Location US NC Greensboro Division Name System Wide Department Name SW Pro Fee Billing Category CLERICAL/ADMIN Position Sub Category INSURANCE/BILLING Position Type Full Time (40 hours/week) Employment Type Employee Exempt/NonExempt Non Exempt FTE 1.00 Workforce Status Hybrid I Work Hours 40.00 Provi

Insurance Coordinator is responsible for proactive management of the insurance authorization process. Supports clinicians by managing insurance authorizations/certifications (initial/ongoing) process. Assists patients with the financial and authorization issues related to their care. Supports all ambulatory PT/OT practice sites. Proactively, effectively and efficiently ma

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Working under the direction of the Director, Business Applications & Analytics, this position is responsible for performing alpha and numerical data entry and data verification functions according to established procedures using Teleform, member research in IDX, and mailing of correspondence. The Claims Verifier will perform duties in accordance with guidelines set forth

. Work Schedule and Additional Information Full time employment Work hours are 8 00 AM to 4 00 PM, Monday Friday, with 30 minute lunch. Telework You may have the opportunity to work from home (telework) part time. In order to telework, you must have a securely configured high speed internet connection and work from an approved location inside Pennsylvania. If you are unab