3M HEALTHCARE

Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary Duties & Responsibilities Appeal claims denied by third‑party payers. Create appropriate letters and compile documentation to substantiate the validity of claims. Investigate and problem‑solve reimbursement issues in collaboration with other coding staff and faculty. Work directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Research payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment. Work with coders and IBC staff on medical terminology and policy interpretation as required. Code evaluation and management services to the appropriate CPT...

Responsibilities Work and resolve front-end errors and payer rejections in the Clearinghouse. Collect reimbursements for services rendered by reviewing insurance carriers' reject reports, EOBs and/or correspondence. Use established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow-up action. Review and adjust claims as needed and process refund and medical record requests from mail received by the insurance companies. Qualifications High school diploma or medical billing certification from an accredited school. 1-2 years of billing and insurance knowledge. Knowledge of ICD-10, CPT and HCPCS codes. Medical terminology. 1-2 years of A/R follow up and denials. Knowledge of Excel. Basic understanding of medical billing compliance. Location & Hours Location: 250 Miller Place, Hicksville, NY 11801 Hours: Monday to Friday; Flexible Hours. Possible remote work after 6 months in office,...

Agiliti is seeking a Biomedical Equipment Technician to manage budgets, supervise staff, and deliver hands-on maintenance, calibration and QA for clinical equipment in Detroit and surrounding locations. The role requires a two-year degree in Electronics or Biomedical Equipment Technology, 3+ years in the field, and CBET certification preferred. Strong knowledge of electronics, anatomy/physiology, and safety testing is essential, with on-call rotation as needed. #J-18808-Ljbffr

Boys Town is seeking a role focused on safety audits and the documentation of safety procedures for youth under its services. The position involves fact-finding investigations, data collection organization, and thorough reporting of safety measures and outcomes. The role requires examining systems for adequacy, analyzing trends, and presenting recommendations to improve youth safety while adhering to confidentiality requirements. Travel may be required based on assignment. #J-18808-Ljbffr