Coding • tampa fl
About SHERLOQ Solutions Established in 1916, SHERLOQ began as a member-owned cooperative in Tampa, Florida.The founding mission was to facilitate the sharing of credit information, promote the equi... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
US Citizen, Green Card, TN, GC EAD and H4 EAD only.No third-party agencies corp to corp.Job Description: More than 8 years of coding language C, Stratus VOS.Experience with payments processing indu... Show more
It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!.When you become part of the Chapters Health Team, you’ll realize it’s more than a job.We’re committed to prov... Show more
US Citizen, Green Card, TN, GC EAD and H4 EAD only.No third-party agencies corp to corp.Job Description: More than 8 years of coding language C, Stratus VOS.Experience with payments processing indu... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Assistant Director RCO Account Receivable CM Coding RI.The Assistant Director Pre-AR, Claims Management, Coding and Revenue Integrity Edits is responsible for overseeing pre-account receivable work... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Assistant Director RCO Account Receivable CM Coding RI.The Assistant Director Pre-AR, Claims Management, Coding and Revenue Integrity Edits is responsible for overseeing pre-account receivable work... Show more
Benefits Configuration Analyst.We are seeking a detail-oriented and experienced Benefits configuration analyst to join our dynamic Business Process Services team at Wipro LLC.This role focuses prim... Show more
Required Skills - Strong technical background in data analysis and coding.Excellent communication skills: both written and verbal.Experience with the following: Oracle, Toad, Informatica, Tableau, ... Show more
Joining AdventHealth is about being part of something bigger.It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.... Show more
The Pharmacy AR Specialist is responsible for managing the accounts receivable (AR) processes related to buy-and-bill medications.This includes verifying insurance coverage, submitting claims, reso... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative wor... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
The average salary range is between $ 48,750 and $ 85,000 year , with the average salary hovering around $ 61,913 year .
The average salary range is between $ 40,950 and $ 90,663 year , with the average salary hovering around $ 55,745 year .
About SHERLOQ Solutions Established in 1916, SHERLOQ began as a member-owned cooperative in Tampa, Florida. The founding mission was to facilitate the sharing of credit information, promote the equitable principles in trade and give back to the community. Over 100 years later, SHERLOQ continues as a vibrant company serving hospitals, healthcare systems, physician practices and utilities nationwide. Position SummaryThis position will require the employee to effectively communicate between healthcare providers and health insurance payers to expedite claim resolution. Essential Duties and ResponsibilitiesResolve healthcare claims through verbal or online inquiries to health insurance payers.Effectively navigate and utilize healthcare provider systems, billing platforms, and payer websites. Verify patient, insurance, billing and claim submission information for accuracy.Eligibility inquiries and coordination of benefits research including reaching out to the patient when necessary.Analyze payer denials and appropriately respond to secure claim reimbursement.Provide information to the Billing & Appeals Specialists on claims that require written appeals.Track trends in payer underpayments, coding issues and denials and report to leadership for escalation.Recognize basic coding denials and request appropriate action for correction or dispute.Check insurance payments for accuracy and compliance with contract discount.Research missing payments and secure documents needed for posting.Demonstrated ability to remain patient, professional & effective in high pressure and high-volume environments.Meet or exceed daily, weekly and monthly performance goals, deadlines and objectives.Perform other related duties as assigned.AbilitiesExcellent verbal and written communication skills.Excellent interpersonal and negotiation skills.Organized with attention to detail.Ability to read and interpret insurance explanation of benefits.Ability to problem solve and think critically to identify trends.Demonstrated proficiency in Microsoft 365 (Teams, Outlook, OneDrive, SharePoint) within a cloud-based, collaborative environment.Experience and EducationHigh school graduate or equivalent required.Three (3) years of healthcare industry experience required.One (1) year of healthcare claims billing, insurance collections, coding, and/or denials management required.Specific healthcare payer experience may be required (e.g., Medicare or state-specific payers).Obtain HFMA CRCR or AAHAM CRCS accreditation within two years of employment and maintain certification in good standing.Pay Range: $18+ per hourSchedule: Monday- Friday 8am-5pmWe value our employees and offer a comprehensive benefits package including medical insurance, 401(k), paid time off, paid holidays, tuition reimbursement, and additional supplemental benefits.SHERLOQ is an Equal Opportunity Employer and considers all qualified applicants without regard to race, color, religion, sex, national origin, disability, or veteran status.If you feel this is the right opportunity for you, we encourage you to apply. We look forward to meeting you!
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