11 claims resolution coder jobs found

Job Description Job Description ob Description We are seeking a seasoned Medical Billing Specialist (certified coder) for a busy practice of two Providers in Podiatry (George Dieter location opening soon!). Must have background or experience in a medical setting (private practice or hospital). The candidate should be a team player, ability to take initiative and multi task. This is a full time position, part time not available. Bilingual is preferred but not required. Please review the essential job function and you MUST meet the Position Requirements (certification must be attained within 90 days of employment). Essential Functions: The following description of job responsibilities and performance expectations is intended to reflect the major responsibilities of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time. Keys charge information into entry program and produces billing. Processing of insurance...

The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a “working” Lead position and is expected to work alongside staff as well as provide direction. Basic Qualifications A minimum of a High School Diploma or GED, required CPC, CPC-H, CPC-P, CEDC or, CCS, preferred 4+ years experience coding ICD-10-CM, HCPCS and CPT codes, required 3+ years supervisory experience, required Experience coding emergency or hospital facility and ancillary services, preferred Experience coding inpatient and observation services, preferred Experience in applying IV infusion and injection codes, preferred Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and...

Lead Medical Coding Specialist 4 days ago Be among the first 25 applicants The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a “working” Lead position and is expected to work alongside staff as well as provide direction. Basic Qualifications A minimum of a High School Diploma or GED, required CPC, CPC-H, CPC-P, CEDC or, CCS, preferred 4+ years experience coding ICD-10-CM, HCPCS and CPT codes, required 3+ years supervisory experience, required Experience coding emergency or hospital facility and ancillary services, preferred Experience coding inpatient and observation services, preferred Experience in applying IV infusion and injection codes, preferred Expertise in...

Community Health Choice, Inc. (Community) is a non‑profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Programs Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women Children's Health Insurance Program (CHIP) for the children of low‑income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D...

Job Description Job Description Want to Make a Difference Through a Career in Healthcare? Welcome to Serenity. If you’ve ever wanted to use your billing and leadership expertise to make a difference, this is your sign. Serenity Healthcare is redefining what mental wellness looks and feels like, and our Accounts Receivable team plays a critical role in that mission. We’re not just looking for people who know medical billing codes by heart. We’re looking for detail-oriented leaders who thrive on accuracy, process improvement, and team success. If you can oversee complex receivables, ensure timely collections, and support your team with integrity and care, you’re our kind of person. The Role: Medical Accounts Receivable Supervisor | Las Colinas, TX The Accounts Receivable Supervisor leads a team that ensures we collect payments accurately and timely, enabling Serenity to continue to grow in its mission to help more people take their back their lives from mental health...

About Us Inform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best‑in‑class service and support, we can redefine the way medicine is managed for patients and clinicians alike. Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation...

About Us Inform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike. Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation...

Job Description Job Description   GENERAL SUMMARY OF DUTIES: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms.   LOCATION:                                     Business Office   SUPERVISON RECEIVED:           Reports to Accounts Receivable Manager.       SUPERVISION EXERCISED:       None.                                                               FLSA STATUS:         Non-exempt.   ESSENTIAL FUNCTIONS:   1.                  Researches all information needed to complete billing process including getting charge information from physicians. 2.                  Codes information about procedures performed and diagnosis on charge. 3.                  Assists in the processing of insurance claims including Medicaid/Medicare claims. 4....

Job Description Job Description We are looking for a strong and highly organized person with Medical billing experience of more than one year with a background in ICD 10, CPT codes and EMR system. This person will be responsible for billing claims, following up on claims, posting payments and customer service. Strong attention to detail is critical including ability to multi-task for the position. There will training on the EMR system. Other functions are: 1. Review Aging Report (A/R) each month for assigned accounts. 2. Follow up A/R 3. Responsible for taking corrective action on all accounts with outstanding balances to ensure timely payment by submitting appeals, resubmitting claims or billing claims to insurance carrier or payer. 4. Responsible for processing Hold Reports to determine necessity of the account hold and correct action needed to obtain payment. 5. Work all correspondence from patients and insurance carriers or payers, taking necessary action to obtain...

Job Description Job Description We have an open position for a Medical Biller/ Accounts Rep. to be filled as soon as possible. The candidate should have strong and highly organized abilities with Medical billing experience of more than one year with a background in ICD 10, CPT codes and EMR system. This person will be responsible for billing claims, following up on claims, posting payments and customer service. Strong attention to detail is critical including ability to multi-task for the position. Training is available. Other functions are: 1. Data Entry 2.Review Aging Report (A/R) each month for assigned accounts. 3. Follow up A/R 4. Responsible for taking corrective action on all accounts with outstanding balances to ensure timely payment by submitting appeals, resubmitting claims or billing claims to insurance carrier or payer. 5. Responsible for processing Hold Reports to determine necessity of the account hold and correct action needed to obtain payment. 6. Work all...

Job Description Job Description Role Description This is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.   Responsibilities Function as a subject matter expert in support of other billing team members. Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment...