Medical Claims Auditor
- A company is looking for a Medical Claims Auditor to audit and adjudicate stop loss insurance medical claims.Key ResponsibilitiesReview and audit medical stop loss claim submissions against relevant documents and standardsCompile periodic reporting for internal and external parties, and advise on claim projectionsRecognize and document trends in claims, providing ongoing feedback for quality improvementRequired Qualifications and EducationHigh School Diploma or GED required;
- Bachelor's degree in Medical Billing and Coding or related field preferred5+ years of experience in medical claims administration;
understanding of Third Party Administration functions preferredKnowledge of medical terminology requiredWorking knowledge of Microsoft Office productsExperience with self-quality monitoring and executing plans to meet established goals
Workshop Coordinator/Receptionist (part-time)
Triumph Financial portfolio of brands,.Our mission is to do well and to do good at the same time.We accomplish this by working together, because at the end of the day, TBK stands for helping the people and business in our communities succeed.We thrive on providing exceptional customer service, and w...
Complex Construction Defect Claims Adjuster
Complex Construction Defect Claims Adjuster. Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Complex Construction Defect Commercial Claims Adjuster. This position can be located in one of our claims offices, with the possibility of working remotely. The successf...
Billing Specialist
LHH Recruitment Solutions has partnered with a fast-growing construction company near Addison, TX! They are hiring for a Billing Specialist. AIA billing and Pay applications. Project closeout, including reconciliations and retainage billing. ...
Medical Billing Specialist
Using skills in Allscripts, Cerner Technologies, Dynamic Data Exchange (DDE), EHR SYSTEM, Epaces, Accounts Receivable (AR), Appeals, Benefit Functions, Billing Functions, Claim Administration, 10 Key Skills, 10 - Key Accounting, Collections, Billing, Billing Collection, Medicare Billing, and Medicai...
Certified Medical Coder
We are seeking a detail-oriented and experienced Professional Fee Surgery Coder specializing in Urology and Gynecology (GYN) cases. ...
Certified Medical Coder (remote ony SoCAL candidates accepted)
Our client is looking for coders, in accordance with current federal coding compliance regulations and guidelines, can use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile and review procedure and physician documentation in order to code, and enter into PBA...
Billing Specialist
Meet with Billing Manager to discuss and resolve reimbursement issues or billing obstacles. Three or more years of experience in healthcare billing & collection practices, working with Medicaid/Medicare and commercial insurance billing. Provides timely billing, follow-up, and final resolution of...
Medical Front Office Receptionist
We are seeking a full-time Medical Front Office Receptionist to join us at 99 Healthcare Management. ...
Medical Biller
As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, commu...
Medical Billing Specialist
Knowledge of medical terminology likely to be encountered in medical claims. The Billing Specialist is responsible for posting insurance payments, entering charges, and assisting patients with their accounts. Basic knowledge of medical terminology, including CPT/ICD-10 coding. Electronic Medical Rec...