• 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 (01/12/25)
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  • Operations Resolution Specialist

    Trinity Health (Columbus, OH)
    …a difference and do the right thing. **Position Purpose:** The Operations Resolution Specialist researches, analyzes, documents, and coordinates the ... resolution of escalated and/or complex issues pertaining to claims , member services, network operations and RAPS and EDPS...Associate or Bachelor's degree preferred. + Licensure / Certification: Claims department: CPC , CPC -P or… more
    Trinity Health (02/05/25)
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  • Insurance Specialist I - Single Business…

    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 (03/04/25)
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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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  • Procedural Billing Specialist I- Oncology…

    Mount Sinai Health System (New York, NY)
    …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** **Procedural Billing Specialist I- Oncology & Therapeutic Infusion Centers Billing-...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
    Mount Sinai Health System (02/16/25)
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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 (02/16/25)
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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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  • Revenue Cycle Specialist IV

    Cedars-Sinai (Los Angeles, CA)
    …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... accounts. Independently initiates dialogue with payor and/or patient to ensure resolution of accounts (eg, responds to additional documentation requests, refers… more
    Cedars-Sinai (03/09/25)
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  • (Hybrid / Remote) Integrity & Compliance…

    Trinity Health (Livonia, MI)
    …thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural ... thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural… more
    Trinity Health (01/23/25)
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