Talent.com
Medical Bill Reviewer

Medical Bill Reviewer

VirtualVocationsDayton, Ohio, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Medical Bill Reviewer-100% remote (EST or CST time zone).

Key Responsibilities

Identify provider participation status when automated processes fail

Apply PPO guidelines to medical bills accurately when automated re-pricing is not applicable

Communicate with clients and internal staff to request necessary documentation and resolve discrepancies

Required Qualifications, Training, and Education

High School Diploma required

Experience with medical bill processes, including familiarity with CPT Codes, ICD-9 and / or ICD-10 Codes, and PPO

Experience working with Windows-based software / applications

Ability to type accurately and review documentation for decision-making

Motivation to work well with others and be a self-starter

serp_jobs.job_alerts.create_a_job

Medical Reviewer • Dayton, Ohio, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medical Biller

Medical Biller

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Biller to manage claims and billing processes in a hybrid work environment.Key Responsibilities : Process rejections and denials, escalating trends as needed Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Virginia Licensed Lead Clinical Reviewer

Virginia Licensed Lead Clinical Reviewer

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Reviewer III

Medical Reviewer III

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.part_time
A company is looking for a Medical Reviewer III for a remote position.Key Responsibilities Provide medical review consultancy to support US Immunology Medical Affairs teams Ensure compliance wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Billing Specialist

Medical Billing Specialist

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for an Accounts Receivable Medical Billing Specialist (WFH).Key Responsibilities Post medical charges, payments, and journal entries to patient accounts accurately Work with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Billing / Invoicing Processor

Medical Billing / Invoicing Processor

Objectwin Technology Inc.Mason, Ohio, United States
serp_jobs.job_card.temporary
serp_jobs.filters_job_card.quick_apply
Job Title : Medical Billing / Invoicing Processor.Location : Mason OH 45040 (Hybrid - 2 days onsite (Tuesday - Thursday on site) ). Duration : 5 Months contract to hire.The Medical Billing / Invoicing C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
CDI Specialist 2nd Level Reviewer

CDI Specialist 2nd Level Reviewer

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Documentation Improvement Specialist 2nd Level Reviewer (Remote).Key Responsibilities Conduct detailed reviews of medical records and physician documentation f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Client Billing Supervisor

Client Billing Supervisor

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Client Bills Supervisor to oversee the day-to-day operations of the Client Bill Team in a remote setting. Key Responsibilities Supervise and develop a team of Client Bil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Remote Medical Coding Reviewer

Remote Medical Coding Reviewer

VirtualVocationsDayton, Ohio, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).Key Responsibilities Lead and provide guidance to staff in specialty programs, medical review, and utilizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
HEDIS Reviewer

HEDIS Reviewer

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a HEDIS Reviewer.Key Responsibilities Audit information entered into the software system for abstraction, overreading, and data entry Maintain project productivity level...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
CPC Certified Claims Coder

CPC Certified Claims Coder

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Resolution Coder - Remote.Key Responsibilities Review medical documentation to assign modifiers to insurance claims based on coding guidelines Collaborate with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Billing Follow-up Representative

Senior Billing Follow-up Representative

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Senior PFS CBO Acute Billing Follow-up Rep.Key Responsibilities Coordinate patient billing and collection activities, ensuring reimbursement through claims processing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Medical Coder IV

California Licensed Medical Coder IV

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Remote Medical Coder IV.Key Responsibilities Assign codes for diagnoses, treatments, and procedures according to classification systems for inpatient admissions Review...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Care Reviewer II - Behavioral Health - RN

Clinical Care Reviewer II - Behavioral Health - RN

CareSourceDayton, OH, United States
serp_jobs.job_card.full_time
Clinical Care Reviewer II - Behavioral Health is responsible for processing medical necessity reviews for appropriateness of authorization for behavioral health care services, assisting with discha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Billing Specialist

Certified Medical Billing Specialist

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Remote Insurance Follow-Up Representative for a hospital setting.Key Responsibilities Analyze denials to identify trends and recommend process improvements Contact thi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Clinical Peer Review RN

Oregon Licensed Clinical Peer Review RN

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Peer Review RN Coordinator (Performance Improvement).Key Responsibilities Coordinate and manage peer review processes with precision and discretion Serve as a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Billing Representative

Medical Billing Representative

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Insurance Billing Representative.Key Responsibilities Handle medical billing and follow-up tasks, including appeals and payment collection Ensure accurate acco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Reviewer

Medical Reviewer

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Reviewer.Key Responsibilities Lead statistical programming activities for clinical safety data sets Oversee the creation and validation of SDTM, ADaM, and TLFs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Review Contractor

Medical Review Contractor

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Review Contractor to serve as a liaison to cross-functional teams and incorporate current medical information into departmental resources.Key Responsibilities P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Medical Biller

Medical Biller

IntelliPro Group Inc.Mason, OH, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Billing / Invoicing Processor Location : Mason, OH 45040 Duration : 3+ Months (Temp to Hire) Pay Rate : $20-21 / h Position Overview : We are seeking a detail-oriented Billing / Invoicing Processor to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30