Claims Examiner in AUSTIN, TX for Baylor Scott & White Health

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Search Results: 109 Jobs

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Emergency Medicine Residency Program Director

Denver Health Medical Center

Denver, Colorado

NEW!

MEDICAID ELIGIBILITY ANALYST

Duke University Health System

Durham, North Carolina

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SVP Chief Risk Officer

Baylor Scott & White Health

Dallas, Texas

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RN Clinical Risk Management and Claims Coordinator

AdventHealth

Sebring, Florida

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Sr Analyst Population Health

Akron Children's Hospital

Akron, Ohio

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SENIOR INTERNAL AUDITOR

Cook County Health

Chicago, Illinois

Revenue Cycle Coordinator

WMC Health

Valhalla, New York

Medical Assistant (MA) - (Raleigh, North Carolina, United States)

Premise Health

Raleigh, North Carolina

Revenue Integrity Analyst Remote

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Phoenix, Arizona

Controller

Kindred Hospitals

Nashville, Tennessee

Associate Manager, Coding Non-Academic Physician Pediatrics Remote

Banner Health

Chandler, Arizona

Clinical Denials Specialist (Full Time)

Benefis Health System

Great Falls, Montana

Sr Market Research Analyst

Kindred Hospitals

Louisville, Kentucky

Provider Contract Manager 2

Northwest Permanente, Kaiser Permanente Northwest

Portland, Oregon

Research Nurse Specialist 3 (Hybrid Remote) ($10K Sign On Bonus)

Vanderbilt Health

Nashville, Tennessee

Auditor Intermediate

Geisinger

Danville, Pennsylvania

Medical Assistant (MA) - (White Bear Lake, Minnesota, United States)

Premise Health

White Bear Lake, Minnesota

Medical Assistant (MA) - (Maple Grove, Minnesota, United States)

Premise Health

Maple Grove, Minnesota

Payment Supervisor

AdventHealth

Altamonte Springs, Florida

Certified Medical Assistant Endocrinology

AdventHealth

Calhoun, Georgia

Denials Management Specialist

AdventHealth

Altamonte Springs, Florida

Medical Assistant (MA) - (Eagan, Minnesota, United States)

Premise Health

Eagan, Minnesota

COMPLIANCE SPECIALIST

Duke University Health System

Durham, North Carolina

Medical Assistant (MA) - (Raleigh, North Carolina, United States)

Premise Health

Raleigh, North Carolina

Sr Provider Contract Manager

Northwest Permanente, Kaiser Permanente Northwest

Portland, Oregon

Claims Examiner

JOB SUMMARYThe Claims Examiner is responsible for claims processing, research and adjudication to correctly apply benefit determinations on routine medical claims (CMS 1500 and UB04) and Rx claims in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses and adjusts routine professional, facility and Rx claims according to claims processing guidelines. Pends claims as directed by departmental policies and procedures, follows up for resolution, and processes pended claims immediately following a benefit / payment determination. Maintains confidentiality rules in compliance with HIPPA guidelines.Works claims inventory from assigned queues to ensure all claims are processed within established turnaround time

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