NewRegistered Nurse (RN) - Quality Assurance - $75K-117K per year BJC HealthCareRegistered Nurse (RN) - Quality Assurance - $75K-117K per yearValley Park, MO$75,000–$117,000 / yearReviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation; identifies high impact cases and risk areas and performs second level reviews for additional opportunities on complex cases; performs post-discharge, pre-bill reviews of target case populations; queries physicians for additional documentation; validates the appropriateness of coder (CDC I, I & III) requests; responds to Coding Quality Coordinators (CQCs) requests for review from a clinical perspective; assists with query escalation to the Physician Champions. Demonstrates a thorough understanding of the MS-DRG system, CCs/MCCs, impact on quality, and CMI as well as ICD-10 coding systems and the guidelines related to clinical documentation improvement; serves as a resource for the Clinical Documentation Specialist (CDS) team; utilizes hospital coding code set, policies and procedures, federal and state coding reimbursement guidelines, and the Coding Clinic Guidelines to assign work; reviews patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies; initiates physician interaction when abnormal ancillary test findings, ambiguous, missing or conflicting information is in the medical record.
NewMedical Scribe - Float Oak Street HealthMedical Scribe - FloatJennings, MO$17–$28.46Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
NewAcademic Physician - MD/DO - Epilepsy Neurologist SSM HealthAcademic Physician - MD/DO - Epilepsy NeurologistSaint Louis, MOSLUCare Physician Group and SSM Health have partnered for decades to provide exceptional medical services to patients at SSM Health Cardinal Glennon Children's Hospital, SSM Health St. Mary's Hospital, and, most recently SSM Health Saint Louis University Hospital. This role offers the opportunity to provide specialized care for individuals with complex seizure disorders, participate in an expanding epilepsy monitoring unit, and engage in teaching and research within a vibrant academic setting.
NewAcademic Physician - MD/DO - Internal Medicine SSM HealthAcademic Physician - MD/DO - Internal MedicineSaint Louis, MOThe 525-bed hospital offers a wide variety of in and outpatient services, including cancer care, a wound center, CV and open-heart surgery, a chest pain center, and advanced stroke care. With an affordable housing market, trendy neighborhoods like Cherokee Street and Delmar Loop, and the booming economic landscape of the city make this one of the most attractive cities for young professionals.
Manager, Coding Compliance - Pediatrics Central Administration Washington University in St LouisManager, Coding Compliance - Pediatrics Central AdministrationSt. Louis, MO$68,100–$105,500 / yearThis leader is responsible for overseeing a team reviewing complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Skills: Accounting, Code Compliance, Coding Compliance, Compliance Management, Healthcare Auditing, Health Care Regulation, Health Insurance Portability & Accountability Act (HIPAA), ICD Coding, Medical Billing and Coding, Organizing, Supervisory Management, Trend Analysis, Trend Reporting.
Coding Quality Audit Inpatient Coordinator BJC HealthCareCoding Quality Audit Inpatient CoordinatorSaint Louis, MORemoteQuality audits are inclusive of assessing compliance with federal and state regulatory coding guidelines, focusing on appropriate assignment of all diagnoses, procedures and DRG's to ensure accurate coding for reimbursement and clinical services (Quality Measures, Severity of Illness, Risk of Mortality). In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
NewSenior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsMO$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
Coding Specialist III St. Luke's Hospital ChesterfieldCoding Specialist IIIChesterfield, MOPosition Summary: The Coding Specialist III will abstract clinical data from inpatient records to facilitate reimbursement and data collection activities. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve.
Coding Specialist III St. Luke's Hospital - MOCoding Specialist IIICHESTERFIELD, MissouriFull timeUsing talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care.
Coding Auditor Healthcare Fraud ShieldCoding AuditorChesterfield, MissouriRemoteUnder direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. REMOTE WORK REQUIREMENTS: Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.
Medical Coding Specialist Family Care Health CentersMedical Coding SpecialistSaint Louis, MOPage 2. PRIMARY RESPONSIBILITIES: Analyzes provider documentation carefully to know the diagnosis and assigns every item with specific codes. Chief Financial Officer, Providers, Patient Account Specialists, Senior Accountant.
NewSupervisor, Payment Integrity- Coding & Clinical (DRG) Centene Corporation GroupSupervisor, Payment Integrity- Coding & Clinical (DRG)MO$87,700–$157,800 / yearPosition Purpose: Supervise and coordinate the day-to-day activities of the Coding & Clinical Review team within Payment Integrity, ensuring accurate diagnosis-related group assignment, clinical validation, and audit outcomes in alignment with established policies, regulatory requirements, and organizational objectives. The position may oversee diagnosis-related group audit, Quality Assurance, Readmissions, Appeals, or broader operational teams and serves as a subject matter expert for complex coding, clinical validation, and audit-related matters.
Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgerySt. Louis, MO$68,100–$105,500 / yearThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
Sr. Compliance Coordinator (Billing & Coding) BJC HealthCareSr. Compliance Coordinator (Billing & Coding)Saint Louis, MORemoteConducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews consist of ambulatory E&M services and office procedures, as well as hospital admissions, subsequent visits, hospital procedures, and all other services performed by BJCMG specialty providers; reviews medical record documentation to identify under-coded and up-coded services, prepares reports of findings, and meets with providers to provide education and training on accurate coding practices and compliance issues; serves as subject matter expert related to specialty coding. Develops and/or presents educational training material to specialty providers and coders based on findings and trends identified as a result of the reviews; provides general education on coding and documentation rules and regulations, regulatory provisions, and third party payer requirements to new employees and providers to include Employee and Provider New Employee Orientation.
Sr Inpatient Coding Specialist (Full Time) Days MercySr Inpatient Coding Specialist (Full Time) DaysChesterfield, MOPosition Details: Education: High school diploma Licensure: Experience: 3 years coding experience in ICD-10-CM diagnoses/procedure coding and HCPCS/CPT procedure coding in the acute care inpatient/outpatient hospital or professional services setting. Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Interventional Radiology Cardiovascular Coder (CIRCC) or completed within 6 months of employment.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321St. Louis, MOIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerSt. Louis, MO$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Project Manager I, II, or III - Code Enforcement (Electrical Plan Reviewer) St. Louis County (MO)Project Manager I, II, or III - Code Enforcement (Electrical Plan Reviewer)Clayton, MOReview and analyze plans and calculations for compliance with NFPA 70 National Electrical Code Identify discrepancies and provides technical assistant to arrive at acceptable design solutions Determines appropriate action for revisions if necessary Provides assistance and information to the general public and various agencies Performs other duties as assigned. Graduation from an accredited college or university with a Bachelors Degree in Electrical Engineering Preference may be given to applicants with related experience, knowledge of construction codes and a professional license or any equivalent combination of training and experience.
Certified Coder (Hybrid) - Physicians Billing Service Washington University in St LouisCertified Coder (Hybrid) - Physicians Billing ServiceSaint Louis, MissouriCertified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Required Qualifications: Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee’s department).
Manager, Financial Reporting Physician Practice Clients Wipfli LLPManager, Financial Reporting Physician Practice ClientsClayton, MORemoteWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Proficiency in accounting software, specifically, Intaact, QuickBooks Online, NetSuite, Bill.com, Microsoft Office Suit and a demonstrated ability to embrace new technologies.
Certified Medical Coder Affinia HealthcareCertified Medical CoderSt. Louis, MOFull timeIdentifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services. Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered.
NewBilling Coordinator St. Louis South Oral SurgeryBilling CoordinatorSt. Louis, Missouri$18–$30Who We Are: St. Louis South Oral Surgery provides comprehensive oral and maxillofacial surgery services for adults and children in a supportive, patient-focused environment. Patient Billing: Generate accurate statements, collect balances, answer billing questions, and assist patients in understanding charges and payment options.
NewRemote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistSt. Louis, MISSOURIRemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Coder Certified (Remote) - Neurology Washington University in St LouisCoder Certified (Remote) - NeurologyMORemote$26.25–$39.36 / hourCertified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Required Qualifications: Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).
Manager, Financial Reporting - Physician Practice Clients Wipfli Advisory LLCManager, Financial Reporting - Physician Practice ClientsClayton, MissouriRemoteFull timeWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Proficiency in accounting software, specifically, Intaact, QuickBooks Online, NetSuite, Bill.com, Microsoft Office Suit and a demonstrated ability to embrace new technologies.
Insurance Billing/Collection Assistant II (Hybrid) - Physicians Billing Service Washington University in St LouisInsurance Billing/Collection Assistant II (Hybrid) - Physicians Billing ServiceSaint Louis, MissouriClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade . Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
Insurance Billing/Collection Assistant III (Remote) - Surgery Washington University in St LouisInsurance Billing/Collection Assistant III (Remote) - SurgeryMORemote$20.57–$30.84 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications. Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
Insurance Billing/Collection Assistant III (Remote) - Department of Medicine - Business Office Washington University in St LouisInsurance Billing/Collection Assistant III (Remote) - Department of Medicine - Business OfficeMORemote$20.57–$30.84 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications. Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerSt. Louis, MO$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Insurance Billing/Collection Assistant II (Remote) - Neurology Washington University in St LouisInsurance Billing/Collection Assistant II (Remote) - NeurologyMORemote$17.34–$25.40 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications. Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
Insurance Billing/Collection Assistant II (Remote) - Pre-Certification Services Washington University in St LouisInsurance Billing/Collection Assistant II (Remote) - Pre-Certification ServicesMORemote$17.34–$25.40 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications. Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
NewCharge Master Analyst Sutter HealthCharge Master AnalystClayton, MO$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewPre-Certification Coordinator (Non-Exempt) MercyPre-Certification Coordinator (Non-Exempt)Chesterfield, MOThe Precert-Preauth Coordinator is responsible for multiple facets of patient financial account services within the practice; including but not limited to patient benefit assessment, insurance verification, pre-certification, pre-authorizations, pre-determination for services, and referrals management. This role serves as a liaison between patients, providers, insurance carriers, and billing teams to ensure timely authorization, accurate documentation, and clear communication regarding insurance benefits and financial responsibility.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MO$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Patient Billing/Services Representative II - Medicine Multispecialty Center - Sunset Hills Washington University in St LouisPatient Billing/Services Representative II - Medicine Multispecialty Center - Sunset HillsSaint Louis, MissouriCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
NewPatient Billing/Services Representative II (Part-Time) - Dermatology Washington University in St LouisPatient Billing/Services Representative II (Part-Time) - DermatologySaint Louis, MissouriCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineSt. Louis, MO$17.34–$25.40 / hourSkills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration. The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
Patient Billing/Services Representative II - Neurology Washington University in St LouisPatient Billing/Services Representative II - NeurologySt Louis, MO$17.34–$25.40 / hourSkills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
NewSpecialist Billing Projects (Hybrid) - Anesthesiology Washington University in St LouisSpecialist Billing Projects (Hybrid) - AnesthesiologySt. Louis, MO$49,700–$82,100 / yearThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. It includes but is not exclusive to the following: Maintains documentation on procedures and processes and assists staff and clinicians as needed, with daily operations including pre-certification.
NewPatient Billing/Services Representative II - Orthopedic Surgery Washington University in St LouisPatient Billing/Services Representative II - Orthopedic SurgerySt. Charles, MO$17.89–$26.35 / hourThis role involves ensuring all check-in and registration is complete and accurate, verifies insurance and referral needs, handles patient inquiries, checks patients out upon completion of their visit and schedules appointments as needed. Skills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration.
Patient Billing/Services Representative II - Otolaryngology/Pediatric ENT Washington University in St LouisPatient Billing/Services Representative II - Otolaryngology/Pediatric ENTSt Louis, MO$17.34–$25.40 / hourSkills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Patient Billing/Services Representative II (Front Desk) - Orthopedic Surgery Washington University in St LouisPatient Billing/Services Representative II (Front Desk) - Orthopedic SurgerySt. Louis, MO$17.89–$26.35 / hourThis role involves ensuring all check-in and registration is complete and accurate, verifies insurance and referral needs, handles patient inquiries, checks patients out upon completion of their visit and schedules appointments as needed. Skills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration.
Patient Billing/Services Representative I - WUCA Nash Pediatrics Washington University in St LouisPatient Billing/Services Representative I - WUCA Nash PediatricsSt. Louis, MO$16.23–$21.88 / hourSkills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Prioritization, Professional Etiquette, Scheduling, Team Collaboration. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Medical Assistant Apprentice Washington University in St LouisMedical Assistant ApprenticeSt. Louis, MO$15.25–$21.33 / hourPerforms select administrative and certain clinical duties under the direction of a licensed healthcare professional; administrative duties may include scheduling appointments, maintaining medical records, patient billing, and coding medical information for insurance purposes; clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and providing medical attention as directed by physician or nursing staff. We typically hire Medical Assistants to work the clinic back office where they room patients, document in electronic medical record, perform clinical skills associated with the specialty, perform blood draws, phone triage, schedule tests or order lab work, provide patients with follow-up instructions.
Patient Billing/Services Representative I - WUCA Nash Pediatrics WUCAPatient Billing/Services Representative I - WUCA Nash PediatricsSaint Louis, MissouriCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Prioritization, Professional Etiquette, Scheduling, Team Collaboration Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Insurance Billing/Collection Assistant III - Physicians Billing Service (Hybrid) Washington University in St LouisInsurance Billing/Collection Assistant III - Physicians Billing Service (Hybrid)Saint Louis, MissouriClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications Grade . Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
Insurance Billing/Collection Assistant II (Hybrid) - Physician Billing Services Washington University in St LouisInsurance Billing/Collection Assistant II (Hybrid) - Physician Billing ServicesSaint Louis, MissouriClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade . Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
PATIENT SERVICES REPRESENTATIVE MEDICAL Anchorage Neighborhood Health Center IncPATIENT SERVICES REPRESENTATIVE MEDICALMODecision Making/Judgment: Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions. Accountability: Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; openly discusses his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight to make adjustments to improve their effectiveness; courage to have difficult conversations.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-MO, MORemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerSt. Louis, MO$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.