10 jobs found in North Las Vegas

CenterWell Senior Primary Care is seeking an IPA Consultative Coder to collaborate with providers and clinic teams. The role focuses on improving documentation accuracy and coding quality to support high-value care in the community. This hybrid position requires travel within the assigned market and pays a base salary with bonus potential. You will deliver coding and documentation education, conduct audits, and perform quarterly chart reviews to support coding accuracy and completeness. #J-18808-Ljbffr

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center , Henderson Hospital, Valley Health Specialty Hospital. and our newest location West Henderson Hospital. Benefit Highlights: Challenging and rewarding work environment Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Job Description: Responsible for preparing statistical reports, coding diseases and operations according to accepted classification systems and maintaining indices...

Full-time Description About Aspirion At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced technology and AI, we are helping make healthcare more affordable and accessible for everyone. For more than two decades, Aspirion has been a market leader in revenue cycle services, specializing in some of the most complex and high impact areas of reimbursement. From challenging denials and zero balance reviews to aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve and deliver real results for our clients. At the heart of that success is our team. Our teammates are the foundation of everything we do. With more than 1,400 individuals across the organization, we are united by a shared commitment to delivering exceptional...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Mission Support and Test Services, LLC (MSTS) seeks an Auditor for NNSS in North Las Vegas. You will support planning and execution of internal audits across financial, procurement, and business operations, evaluating controls and identifying process improvements. The role offers exposure to a broad range of functions with emphasis on financial and procurement processes. US citizenship is required; a 2+ year background in audits is expected. #J-18808-Ljbffr

Job Description Job Description Description: JOB SUMMARY: The Medical Biller participates in the delivery of excellent medical services in a patient centered medical home environment with an emphasis on the prevention of disease by serving as the primary responsible party for insurance claims processing and collecting. The Medical Biller is responsible for all medical billing within the clinic, including submitting claims, processing denials, updating patient accounts, and collecting/recording patient payments. The Medical Biller coordinates improvement in all areas of the clinic with an emphasis on the importance of the individual patient and putting their needs first. DUTIES AND RESPONSIBILITIES: Medical Biller Duties: Demonstrates proficiency with Electronic Medical Records (EMR) and when needed, enters data into computerized system. Posts charges and claims to payers in a correct and timely fashion; works claims and claim denials to ensure maximum reimbursement for...

Benefits: Competitive salary Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will work closely with clients to answer billing questions, process all forms required for insurance billing, and collect necessary documentation from clients. You will also assist other Medical Billers with client follow-up inquiries, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through private insurance and Medicaid/Medicare/Medicare Advantage. Note and process all necessary forms from the insurance Assist...

Mission Support and Test Services, LLC (MSTS) seeks an Auditor for NNSS in North Las Vegas. You will support planning and execution of internal audits across financial, procurement, and business operations, evaluating controls and identifying process improvements. The role offers exposure to a broad range of functions with emphasis on financial and procurement processes. US citizenship is required; a 2+ year background in audits is expected. #J-18808-Ljbffr