Search Results: 16 vacancies
...payments.
Review bills for accuracy and completeness and obtain any missing information.
Knowledge of insurance guidelines especially Medicare and state Medicaid
Follow up on unpaid claims within standard billing cycle timeframe.
Check each insurance payment is for...
...communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter...
...taking designated breaks.
Abilities and Knowledge
Have knowledge of ICD-10 and CPT codes as well as insurance guidelinesespecially Medicare and Medicaid.
Must demonstrate flexibility and ability to multitask in a fast paced environment.
Attention to detail, suggest...
...payment issues and effectively follow up with insurance companies.
Knowledge of insurance guidelines, especially those associated with Medicare and Medicaid as well as ICD-10 and CPT codes.
Critical and analytical thinking skills to help resolve billing issues and collect...
...Qualifications
• Must have relevant experience in Inpatient Coding
• Thorough knowledge of CPT and ICD-10-CM/PCS, HCPCS Level II, Medicare, Medicaid, and Insurance guidelines.
• Coding certification: Mandatory CIC (AAPC) and/or CCS (AHIMA)
• Science graduate/BAMS...
...communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Subject matter...
...communication Skills (both written & verbal)Skill Set: . Candidate should have good healthcare knowledge. . Candidate should have knowledge of Medicare and Medicaid. . Ability to interact positively with team members, peer group and seniors.
Working in an evolving healthcare...
...taking designated break
Abilities and Knowledge
Have knowledge of ICD-10 and CPT codes as well as insurance guidelines especially Medicare and Medicaid.
Strong knowledge of ANSI guidelines and EDI/ERA enrollment processes.
Knowledge of Payer rules and regulations....
...-CM/PCS coding, HCPCS codes, CPT codes, modifiers, understanding of US healthcare payment methodologies for Commercial, Marketplace, Medicare, and Medicaid, Home Healthcare, 4-6 years.
Proficient in Excel and Word and professional use of email and Teams.
Effective presentation...
...Qualifications
. Must have relevant experience in Inpatient Coding
. Thorough knowledge of CPT and ICD-10-CM/PCS, HCPCS Level II, Medicare, Medicaid, and Insurance guidelines.
. Coding certification: Mandatory CIC (AAPC) and/or CCS (AHIMA)
. Science graduate/BAMS/...
...performance management of the team.
Manage Team Attrition
Job Specification -
Should have HCC coding & HEDIS experience.
Experience of Medicare, Medicaid, Commercial LOB.
Worked on HCC Coding – Prospective, Retrospective, Concurrent Projects.
Experience of HEDIS Quality...
...working on process improvements/ six sigma quality projects preferred.
~ Proven knowledge of various insurance carriers, including Medicare, private HMOs, PPOs, Capitation and Workers' Comp. etc.
~ Advanced excel skills such as the ability to use formulas to analyze data...
...communication Skills (both written & verbal)
Skill Set
Candidate should be good in Denial Management.
Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.
Ability to interact positively with team members, peer group and seniors
Working...
...with MS Word and Excel
~ Proven ability to work overtime as needed
Preferred Qualifications:
Experience with Healthcare/Medicare terminology
Managed Care and previous Appeals/Grievances experience
At UnitedHealth Group, our mission is to help people live...
...REQUIRED:
Demonstrated knowledge and experience in analysis of large data sets such as healthcare claims (e.g., Optum, Truven, DRG, Medicare) and/or other healthcare databases (Flatiron Health, ConcertAI, etc.).
At least 8 years of experience in statistical programming (...
...better proficiency with MS Word, MS Excel and MS Outlook
Preferred Qualifications:
Bachelor’s degree
Experience working with Medicare, Medicare Advantage, Medicare Part D, Medicaid and/or Tricare regulations
At UnitedHealth Group, our mission is to help people...