Overview The Client Policy Manager I manages client payment policies by ensuring client’s payment policy is accurate, up-to-date, and complete; executes client-specific requests with guidance from internal team and acts as the internal and external client
Description REMOTE - this position will be fully remote after training. Texas residents only * Job purpose The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence
RCM Patient Accounts Receivable Specialist Location: Remote (Upstate, SC Preferred). This is a remote position; however, candidates must reside in the Upstate South Carolina area and be within reasonable commuting distance to our corporate headquarters in
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Employment Type:Full time Shift: Description:Excellence in care takes the dedication and commitment of not only our front-line care teams, but of the specialized professionals that support all aspects of our mission. Colleagues in Finance, HR, Marketing
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people
Location:Remote - TX Department:Administration Shift:First Shift (United States of America) Standard Weekly Hours:40 Summary: The Certified Coding Specialist II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural
Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused
Role: This position is part of the Reimbursement team in the Global Business Services (GBS). The Reimbursement Supervisor is responsible for overseeing the daily operations and deliverables of the reimbursement team, including the preparation, review,
Overview We are looking for a Senior Principal Machine Learning Engineer to lead the design and delivery of end-to-end ML/AI systems that turn vast volumes of claims, clinical, and member data into measurable performance and reduced
Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing
Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work teams Submit, monitor and prioritize IT tickets for
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
Overview The Payer Compliance Specialist I – RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP claims, to determine appropriateness per contract. This position will review electronic
Details: This position is Monday through Friday. The hours are day shift and there is some flexibility with start times. This position is fully remote, team member will need a private, home office space. Team member
We are recruiting for a mission-driven Coder IV- IP DRG - Remote (Selected States Only) to join our team! Were with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something
Seeking a Medical Billing Specialist - AR & Payment Posting for our client who will provide clerical expertise to ensure all patients receive high-quality, efficient care. We have an amazing team that works hard to support