417 claims coordinator jobs found

Posting Details Posting Number: S15474P Working Title: Medical Billing Specialist Department: UHC-Business Services About the University of Georgia: Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and is the state's flagship university (https://www.uga.edu/). The proof is in our more than 240 years of academic and professional achievements and our continual commitment to higher education. UGA is currently ranked among the top 20 public universities in U.S. News & World Report. The University's main campus is located in Athens, approximately 65 miles northeast of Atlanta, with extended campuses in Atlanta, Griffin, Gwinnett, and Tifton. UGA employs approximately 3,100 faculty and more than 7,700 full-time staff. The University's enrollment exceeds 41,000 students including over 31,000 undergraduates and over 10,000 graduate and professional students. Academic programs reside in 19 schools and colleges,...

Insurance Claims Processor Under the supervision of the Business Office Manager, is responsible for the timely submission of claims as well as accurate follow-up of claims submitted to the assigned insurance payers. Responsible for notifying governmental payers of all overpayments per federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. Duties and responsibilities include: Ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow-up 277 payer rejection work queue. Following up of insurance claims through the use of payer websites, portals, and other mechanisms as directed by management. General knowledge of payer rules and contract guidelines and billing procedures in order to accomplish follow-up activity. Keeping current on all assigned payer newsletters and bulletins for medical or administrative policy...

Medical Billing Specialist We are unable to offer a work visa sponsorship for this position. You must be authorized to work in the U.S. to apply. Posting Details Posting Number: S15474P Working Title: Medical Billing Specialist Department: UHC-Business Services About the University of Georgia: Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and is the state’s flagship university ( https://www.uga.edu/ ). The proof is in our more than 240 years of academic and professional achievements and our continual commitment to higher education. UGA is currently ranked among the top 20 public universities in U.S. News & World Report. The University’s main campus is located in Athens, approximately 65 miles northeast of Atlanta, with extended campuses in Atlanta, Griffin, Gwinnett, and Tifton. UGA employs approximately 3,100 faculty and more than 7,700 full-time staff. The University’s enrollment exceeds 41,000...

Posting Details Posting Details Posting Number S15474P Working Title Medical Billing Specialist Department UHC-Business Services About the University of Georgia Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and is the state's flagship university (https://www.uga.edu/) . The proof is in our more than 240 years of academic and professional achievements and our continual commitment to higher education. UGA is currently ranked among the top 20 public universities in U.S. News & World Report. The University's main campus is located in Athens, approximately 65 miles northeast of Atlanta, with extended campuses in Atlanta, Griffin, Gwinnett, and Tifton. UGA employs approximately 3,100 faculty and more than 7,700 full-time staff. The University's enrollment exceeds 41,000 students including over 31,000 undergraduates and over 10,000 graduate and professional students. Academic programs reside in...

Description General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or...

# Hospice Medical CoderOffice: Marysville, OH Work: Marysville, OhioHospice Medical CoderA Great Opportunity/ PRNAt ViaQuest Hospice we take a holistic approach, offering services to treat the physical, emotional and mental needs of our patients and their loved ones. Apply today and make a difference in the lives of the patients we serve!Responsibilities may include:* Review admission, recertification, and discharge documentation for coding accuracy, completeness, and compliance.* Assign ICD-10-CM diagnosis codes in accordance with CMS, LCDs, Conditions of Participation (CoPs), and ACHC standards.* Sequence diagnoses appropriately to support hospice eligibility and coverage determinations.* Collaborate with physicians, clinicians, and interdisciplinary team members to clarify documentation and resolve coding questions.* Ensure coding documentation supports accurate claims submission, Medicare billing requirements, and reimbursement.* Submit coding documentation within established...

Medical Billing Specialist The Medical Billing Specialist plays a key role within the Business Services Department and reports to the Coding and Compliance Manager. This position is responsible for ensuring accurate and timely preparation, review, correction, and submission of medical, vision, and CAPS claims in accordance with Medicare guidelines, along with processing insurance remittances. The role also includes monitoring outstanding claims, addressing delays and denials, maintaining up-to-date medical terminology knowledge, and delivering customer support by managing phone inquiries, processing payments, and advising students on insurance benefits and account balances. Knowledge, Skills, Abilities and/or Competencies - Demonstrates strong customer service, verbal communication, and interpersonal skills, along with proficiency in Microsoft Office, basic math, and the ability to manage multiple tasks with accuracy and attention to detail. Applies a comprehensive...

Medical Biller Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Overview: Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible coordinating daily workflow for accurate submission of insurance...

Covenant Health, based in Knoxville, seeks a Medical Biller to manage and submit UB and 1500 claims for acute care facilities and professional services. You will coordinate daily billing workflow to ensure timely reimbursement, support the Billing Coordinator, and resolve complex claim issues in a compliant manner. The role requires solid knowledge of payer requirements, claim edits, and regulatory standards. #J-18808-Ljbffr

JOB SUMMARY Under the Supervision of the Business Office Manager is responsible for the timely submission of claims as well as accurate follow–up of claims submitted to the assigned insurance payers. Responsible for notifying Governmental payers of all overpayments per Federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. DUTIES & RESPONSIBILITIES Responsible for ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow–up 277 payer rejection work queue. Responsible for follow–up of insurance claims through the use of payer web sites, portals, and other mechanisms as directed by management. Responsible for general knowledge of payer rules and contract guidelines and billing procedures in order to accomplish follow–up activity. Responsible to keep current on all assigned payer newsletters and bulletins for medical...

Description General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or...

# Hospice Medical CoderOffice: Monongahela, PA Work: Monongahela, PennsylvaniaHospice Medical CoderA Great Opportunity/ PRNAt ViaQuest Hospice we take a holistic approach, offering services to treat the physical, emotional and mental needs of our patients and their loved ones. Apply today and make a difference in the lives of the patients we serve!Responsibilities may include:* Review admission, recertification, and discharge documentation for coding accuracy, completeness, and compliance.* Assign ICD-10-CM diagnosis codes in accordance with CMS, LCDs, Conditions of Participation (CoPs), and ACHC standards.* Sequence diagnoses appropriately to support hospice eligibility and coverage determinations.* Collaborate with physicians, clinicians, and interdisciplinary team members to clarify documentation and resolve coding questions.* Ensure coding documentation supports accurate claims submission, Medicare billing requirements, and reimbursement.* Submit coding documentation within...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from CSI Companies Technical Recruiter at The CSI Companies CSI Companies is actively seeking a Remote Inpatient Coder with experience with coding for both the IRF-PAI and UB04. The CSI Companies understands that an attractive benefits package is important for recruiting above-average candidates. While on contract, we offer a benefits package that includes weekly pay, direct deposit, multiple healthcare plans (Vision, Dental, Disability options, Holiday Pay, & Paid Time Off) if eligible. *M ust be located in Florida, Georgia, North Carolina, South Carolina, Kentucky, Arkansas, or Arizona* JOB DETAILS Job Title : Remote Inpatient Coder Location: Remote Hourly Pay: 24.00 - 26.00 dollars (small flexibility depending on experience) Duration : Contract to Hire (must be willing to covert to full time) Required Skills Ability to accurately assign the IGC and etiologic diagnosis for the...

We are looking for an experienced Billing Specialist who will also serve as a Team Coordinator. This role combines hands‑on billing responsibilities with leadership support functions, including assisting with screening new hires and monitoring team productivity. The ideal candidate is highly organized, proactive, and able to guide team members while maintaining their own billing workload. Follow up on insurance claims. Manage denials, appeals, and timely filing issues. Review EOBs and resolve discrepancies. Ensure compliance with payer policies and billing regulations. Team Coordination Duties Assist in screening new billing candidates. Monitor outsourced team productivity and report performance metrics. Review work quality and provide constructive feedback. Help implement workflow improvements. Serve as a point of contact between billing staff and management. Qualifications 3+ years of medical billing experience. Strong understanding of payer guidelines and appeals process....

Responsibilities Generate primary and secondary paper bills according to established procedures. Edit paper claims before mailing. Perform claim follow‑up on denials quickly and accurately from assigned payers to ensure revenues are received in a timely manner. Run 837 files according to established procedures and resolve any validation issues. Accurately and timely enter data into payer websites for original claim submissions and/or corrected claims submissions. Verify and post remittance from assigned payers. Re‑bill accounts as necessary to ensure an open insurance receivable against which a payment can be applied. Thoroughly research questionable/unidentified payments in order to post properly or refund to payer per payer guidelines. Work with payers and subscribers to resolve issues and facilitate prompt payment of claims. Verify NAP issues and work to resolve them. Identify and communicate to up‑line delays affecting balancing issues, new codes, or adjustments....

Join to apply for the BUSINESS OFFICE MEDICAL BILLER role at Slocum-Dickson Medical Group 1 year ago Be among the first 25 applicants Join to apply for the BUSINESS OFFICE MEDICAL BILLER role at Slocum-Dickson Medical Group Get AI-powered advice on this job and more exclusive features. Description Description JOB SUMMARY: Under the Supervision of the Business Office Manager is responsible for the timely submission of claims as well as accurate follow-up of claims submitted to the assigned insurance payers. Responsible for notifying Governmental payers of all overpayments per Federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. Duties & Responsibilities Responsible for ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow-up 277 payer rejection work queue. Responsible for follow–up of insurance claims through...

Billing Specialist Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. Ensure that claims are coded and processed accurately and timely. Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary. Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor. Assist Billing/Coding Coordinator with related projects and issues as they arise. Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities with the registrars by offering counseling to patients when notified of the need. Educate and provide...

A medical laboratory is seeking an experienced Billing Specialist to serve as a Team Coordinator. This role combines billing responsibilities with leadership functions, including screening new hires and monitoring team performance. The ideal candidate should have at least 3 years of medical billing experience, strong organizational abilities, and excellent communication skills. The position involves managing insurance claims, documenting productivity metrics, and providing constructive feedback to team members. Competitive candidates may have lab billing experience and proficiency in tools like Excel and Word. #J-18808-Ljbffr

To support the implementation of medical and payment policies, the full-time Payment and Medical Policy Coordinator will coordinate cross-functional activities, ensure business readiness, and manage testing and post-implementation validation while working remotely from the greater Baltimore/Washington metropolitan area. Key responsibilities Coordinates cross-functional activities for policy implementation, ensuring alignment across various teams Supports business readiness activities, including impact assessments and implementation plans Manages testing activities related to policy implementation, ensuring documentation and communication of results Required qualifications Bachelor's Degree in Health Administration, Business, Finance, or related discipline, or 4 years of relevant work experience in lieu of a degree Experience in health plan operations, project coordination, or policy implementation Preferred certifications include Certified Coder (CCS or CPC) from AHIMA or...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $21.00/hr - $25.00/hr Direct message the job poster from The Judge Group Healthcare Recruiting Lead - Permanent Placement at The Judge Group Position: Remote E/M Medical Coder Location: Remote (U.S.-based) Job Type: Full-time (40 hours/week) Flexible hours/schedule but End-of-day production reports must be submitted by 8:00 PM ET Equipment: Personal desktop/laptop required. Setup support provided for necessary tools and software. Qualifications Experience: Minimum 6 months hands-on E/M medical coding experience Note: Internships or shadowing without direct coding responsibilities do not qualify Certification: Active certification from AAPC or AHIMA (CPC, CRC, CCS, CCA, etc.) Apprenticeship ("-A") status is acceptable Seniority level Seniority level Associate...

Job Description Job Description Armina Healthcare is looking for a Billing/Collections Specialist to join our team. If you like what you do and want to like where you work we are the company for you! The Billing Specialist is a key position responsible for coordinating the billing and maintenance of patient accounts. The Billing Specialist will process bills daily, as well as perform reviews of the billing and medical documents before processing the claim. This position requires a highly detailed and reliable person who is team-oriented and have the ability to maintain a high level of confidentiality along with the ability to multitask. As we are billing for multiple facilities you will be expected to manage multiple facilities. Benefits 10 days PTO the first year 8 PAID Holidays a year Health Insurance (within 30 days) Dental Insurance (within 30 days) Vision Insurance (within 30 days) matching 401k As a Medical Billing Specialist/Coordinator, you will earn competitive...

Job Description Job Description This is a full-time position available for immediate hire. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties. Please submit your resume ONLY if you meet the job requirements outlined below. Resumes that do not align with these requirements will not be considered or retained.  Insurance A/R Coordinator Qualified applicants must have a minimum of two years of experience in medical billing, with a primary focus on physician services. Experience working with multiple provider specialties is strongly preferred. Familiarity with Epic and CareTracker billing systems is a plus; however, extensive hands-on industry experience is most important.  Significant exposure to the following aspects of billing / revenue management is required: Patient Registration Insurance Eligibility Verification Service Coding Charge Entry...

Job Description Job Description SUMMARY: Full Time Medical Coding Specialist performs diagnosis and procedural coding to individual patient medical records for data retrieval, analysis, and claims processing. This is a hybrid position initially required in office presence and the opportunity to work partially remote when workflow allows. DUTIES AND RESPONSIBILITIES: Reviews the patient ‘s medical record for accurate and complete documentation prior to coding. Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission Codes for assigned physicians, locations, and/or departments from review of medical record documentation. Applies knowledge of current coding and billing requirements to assure claims are submitted correctly Brings identified concerns and trends to the manager/team lead for resolution. Reviews coding and billing worklists and resolves claim rejections. Enters patient demographic...

Revenue Cycle Coordinator / Medical Biller Optimal Health Chiropractic & Physical Therapy is seeking an experienced, detail-oriented Revenue Cycle Coordinator to help manage the financial health of our growing multi-location chiropractic and physical therapy practice. This position is ideal for an experienced medical biller who enjoys solving problems, tracking down outstanding claims, improving collections, and helping a healthcare team operate efficiently. Position Overview The Revenue Cycle Coordinator will be responsible for managing and improving all aspects of the revenue cycle, including claim submission oversight, denial management, insurance verification, authorizations, accounts receivable, and reporting. This role will work closely with clinic leadership, providers, front desk staff, and our EMR system to ensure accurate billing and timely reimbursement. Position Type Part-Time (2030 hours per week initially) Flexible schedule available Hybrid or remote options may...