- MultiPlan (Atlanta, GA)
- …subject to defined work output standards and production which involves high volume claims resolution . Work involves direct contact with internal and external ... overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims . * Up to 40% of time will be on phone… more
- APN Consulting, Inc (TX)
- Title: Healthcare - Appeals Specialist IREMOTE6 monthsJob Description:* Will the position be 100% remote? yes* Are there are time zone requirements? Prefer no more ... good phone communication skills, and meet the description in the job chosen (appeals specialist I)* What are the day to day responsibilities? Research and respond to… more
- A-Line Staffing Solutions (Monroeville, PA)
- A-Line Staffing is now hiring a Medical Billing Specialist in Monroeville, PA. The Medical Billing Specialist would be working for a Fortune 500 company ... hours per week. If you are interested in this Medical Billing Specialist position, please contact me...collect supporting or additional information on fills and work claims through to resolution to ensure compliant,… more
- Rose International (Monroeville, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work ... retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate… more
- GXO (Olathe, KS)
- …performance/compliance issues Perform data entry and track-and-trace duties Provide freight pay and claims resolution What you need to succeed at GXO: At a ... caliber of service our company requires. As the Transportation Specialist , you will be responsible for performing all functions...tracking for all modes of transportation and freight pay resolution . If you're excited by the prospect of working… more
- Accounting Now (Tampa, FL)
- …Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely ... The Denials Specialist performs advanced-level work related to clinical and...cycle or prior authorizations for inpatient/outpatient, hospital/physicianExperience in healthcare claims processing and proficiency with medical billing… more
- WSFS Bank (Newark, DE)
- …reinvent service vendor management, ATM Cash Forecasting, and Vault Cash resaleThe TCM Support Specialist will be part of the ATM Help Desk team, a unit responsible ... accurate and timely informationThis will include type of service, estimated resolution times, billing status and service resolutionsAssist in armored courier… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …improving the health of our communities. About the Role:Job SummaryThe Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by ... safety initiatives, risk management programs, and patient variance processes. The Specialist will monitor trends, conduct investigations and complete audits to… more
- Accounting Now (Tampa, FL)
- …of medical terminology, bill review, general coding, and appeals resolution .Ability to read, analyze, and interpret hospital medical bills, records, ... Medicare Appeals Specialist Do you like challenging payers? Enjoy that...and trends.Filing complaints with Medicare and Medicaid agencies when claims are denied in error.Perform follow up on any… more
- Accounting Now (Tampa, FL)
- …payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims . Uses exceptional organization, written, and verbal ... and resolve problem accounts, and request adjustments or rebills on claims .Duties:Research, initiate follow-up, and resolve all unpaid or underpaid system debit… more
- A-Line Staffing Solutions (Monroeville, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work ... A Billing Specialist is needed in Monroeville, PA 15146. Candidate...collect supporting or additional information on fills and work claims through to resolution to ensure compliant,… more
- A-Line Staffing Solutions (Pittsburgh, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work ... images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practice more
- Blanchard Valley Hospital (Findlay, OH)
- …in response to investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether ... clinical documentation opportunities and provide routine feedback and education to medical staff providers to support compliant, accurate and optimal charge capture.… more
- Jazz Pharmaceuticals (New York, NY)
- …strategic decision-making and problem-solving capabilities.Experience working with billing and medical claims personnel in healthcare settings preferred.Strong ... or slow a patient's access to Epidiolex. The ARM provides issue resolution through effective collaboration and coordination with all contracted specialty pharmacy… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... an action plan to manage the claim. The Claim Resolution Specialist 1 will work with and...and vendors as needed. In coordination with the Claim Resolution Supervisor, make recommendations for medical , voluntary… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… more
- University of Rochester (Rochester, NY)
- …**Qualifications:** + Required: 1. Associates degree and 2 years of professional medical claims billing and collecting experience. OR Certification obtained from ... calls, correction of a claim - rebilling, investigation of medical documentation, addition of a modifier, claims ...identifies problems and takes appropriate action to assure claim resolution . **10%** Mails paper claims with appropriate… more
- Robert Half Accountemps (Greenville, SC)
- …We are offering a contract/contract to hire employment opportunity for a Medical Insurance/Intake/ Claims Specialist ! The role involves handling various ... any additional information needed. * Review medical claims and handle insurance claims resolution...Requirements * Minimum of 2 years experience in a Medical Insurance Claims Specialist role… more
- Axis (Red Bank, NJ)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... investigations to determine liability, damages, and coverage.** **Makes recommendations regarding resolution strategy for such claims including reserve adequacy;… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
