Medical Claims Jobs in Oregon
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Search Results - Medical Claims Jobs in Oregon
Acentra Health-Salem
recipients
• Perform verification of healthcare services to facilitate payment for received services
• Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data
• Serve as liaison between the internal and external partners...
LanceSoft Inc-Salem
HPA) Division of the Oregon Health Authority (OHA).
Medicaid administrative data is primarily made up of 1) medical claims submitted by health providers and Coordinated Care Organizations (CCOs) to receive payment for health services delivered...
resume-library.com -
Acentra Health-Eugene
recipients
• Perform verification of healthcare services to facilitate payment for received services
• Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data
• Serve as liaison between the internal and external partners...
Expedite Technology Solutions-Salem
Information Technology and Analytics Infrastructure, that exists within the Health Policy and Analytics (HPA) Division of the Oregon Health Authority (OHA).
Medicaid administrative data is primarily made up of 1) medical claims submitted by health providers...
resume-library.com -
Acentra Health-Portland
recipients
• Perform verification of healthcare services to facilitate payment for received services
• Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data
• Serve as liaison between the internal and external partners...
Remote
of treatment setting and services delivered.
Responsibilities:
• Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise...
icims.com -
Remote
knowledge will be essential in the following:
• Utilize multiple sources of information including, but not limited to, paid claims data, customer service call notes, clinical guidelines, medical records, conversations with members, conversations...
icims.com -
Remote
to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
• Medical terminology course preferred
• Prior experience in customer service and/or medical background
• Prior insurance and/or claims background...
icims.com -
Remote
on clinical review, coding accuracy, medical necessity, and the appropriateness of treatment setting, and services delivered.
Responsibilities:
Audits Outpatient and Specialty Claims:
• Utilizes medical chart coding principles and client specific guidelines...
icims.com -
Remote
projects within standard reports such as medical policies, state and federal statutes.
• Validates New Claim Types. With proficiency, utilizes audit tools to evaluate, document and validate to audit and client new claims and concept effectiveness. Ensures...
icims.com -
Remote
necessity; and all post claim or post service reviews.
• Ensure proper referral to medical director for denial authorizations through independent review organizations (IRO).
• Work with hospital staff to prepare patients for discharge and ensure a smooth...
icims.com -
Remote
as a condition of employment. (CCS, CPC, etc.). Candidates who hold a CCDS will also be given consideration but will need to obtain a coding certification within 6 months.
• 5 to 7+ years of working with a broad knowledge of medical claims, billing/payment...
icims.com -
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