- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in ... in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for...care providers and Stage 2 and 3 child care payment agencies. + Provide monthly reporting statistics to supervisor… more
- Centers for Independence (Milwaukee, WI)
- …Nonprofit - Social Services **Description** **Job Purpose:** The Payment Resolution Specialist position is responsible for ensuring claims are processed and ... ** Payment Resolution Specialist ** **Job Details** **Job...claims by the required deadlines to ensure timely payment . This position works on a team of specialists… more
- Charter Care Health Partners (Providence, RI)
- …offices, Federal & State Agencies and third parties to obtain information required to assure payment of inpatient claims . The Specialist will meet daily with ... Summary: The Insurance Verification Specialist completes the daily verification and authorization process of all in and outpatient cases in the Charter Care Health… more
- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing… more
- Commonwealth Care Alliance (Boston, MA)
- …certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + Experience ... 011250 CCA- Claims **_This position is available to remote employees...subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider engagement… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text… more
- Lincoln Financial (Richmond, VA)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload... Nice to haves: + Strong mathematical skills for payment calculations **Application Deadline** Applications for this position will… more
- HCA Healthcare (Nashville, TN)
- …NC, SC, TN, TX, UT, VA). Do you have the career opportunities as an EDI Claims Filing Specialist you want with your current employer? We have an exciting ... a committed, caring group of colleagues. Do you want to work as an EDI Claims Filing Specialist where your passion for creating positive patient interactions is… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... claims from government and third party payers. The Claims Specialist is responsible for preparing and...responsible for appropriate follow up on all accounts pending payment from government and third party payers. Essential Job… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist...to incoming calls from clients and medical providers regarding payment statuses and claims + Make outgoing… more
- Commonwealth Care Alliance (Boston, MA)
- …(CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies + ... 011250 CCA- Claims Hiring for One Year Term **_This position...coding logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this… more
- Insight Global (Nashville, TN)
- Job Description . Specialist performs pre- and post- payment audits of external claims ; ensures that the company rigorously manages claims for external ... are otherwise appropriate and correct; reviews and responds to claims submitted on appeal. . Support a remote ...claims submitted on appeal. . Support a remote claims processing team, including coordination with an offshore team… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... you results-oriented? If so, our Claims Resolution Specialist position may be a...all open balances for accounts that have received a payment or denial, or that are greater than 30… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... and approves payment of medical bills and expenses associated with claims and litigated cases. + Determines and establishes liability reserves and prepares… more
- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim… more
- Ascension Health (Austin, TX)
- …by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. ... **Responsibilities** Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance with the… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- Amazon (Nashville, TN)
- …results in a fast-paced, ambiguous environment. Key job responsibilities * Resolve payment disputes for carrier partners by investigating claims and ensuring ... partners who transport goods for Amazon. Our team resolves payment issues related to daily freight movements into and...are looking to hire an Accounts Payable Dispute Resolution Specialist to support the growth of our expanding Amazon… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent ... an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the contract assignment,… more
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and ... minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to...with outstanding balances; leads meetings with payors to resolve payment and denial issues. * Writes and submits appeals… more