- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...accuracy in data elements and processing crucial to effective claims processing and account resolution . + Must… more
- Penn Medicine (Radnor, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- ... 1500 Market Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to… more
- State of Colorado (CO)
- CDOC - Human Resources Specialist IV (Employee Benefits Work Lead) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4663958) Apply CDOC - Human ... Resources Specialist IV (Employee Benefits Work Lead) Salary $5,845.00 -...Oversee the management and auditing of leave balances, benefits claims , and compliance with FMLA, FAMLI, Workers' Compensation, and… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle PB Billing & Denials... appeal * Reviews, researches and processes denied claims * Appeal claims as ... & Finance UTMB Health Requisition # 2404280 **Patient Account Specialist - Revenue Cycle PB Billing and Denials (Partial...responsible for billing all third party payers through a claims processing vendor and/or for appeal of… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials... appeal * Review, research, and processes denied claims * Appeal claims as ... & Finance UTMB Health Requisition # 2403993 Patient Account Specialist - Revenue Cycle HB Billing & Denials **Minimum...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of… more
- Guthrie (Sayre, PA)
- …resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance ... or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist ...up for claims that require correction or appeal . 9. Provides timely resolution of credit… more
- UTMB Health (Galveston, TX)
- …Identifies denials and underpayments for appeal * Reviews, research and processes denied claims * Appeal claims as appropriate according to policies and ... Part Time (20 Hrs per Week) - Patient Accounts Specialist - Revenue Cycle HB Billing & Denials **Galveston,...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials... appeal * Reviews, researches and processes denied claims * Appeal claims as ... Revenue Cycle experience. **Job Summary:** The Sr. Patient Account Specialist will be responsible for billing all third party...responsible for billing all third party payers through a claims processing vendor and/or for appeal of… more
- UTMB Health (Galveston, TX)
- Sr. Patient Account Specialist - Revenue Cycle PB Billing & Denials... appeal * Reviews, research, and processes denied claims * Appeal claims as ... Revenue Cycle experience **Job Description** The Sr. Patient Account Specialist will be responsible for billing all third-party payers...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of… more
- Martin's Point Health Care (Portland, ME)
- …since 2015. Position Summary Medicare and US Family Health Plan (USFHP) Appeal Specialists are responsible for processing of all member appeals, non-participating ... and external partners to ensure a comprehensive appeals management process. Job Description Specialist II Key Outcomes: + Serves as daily resource for staff and… more
- CEENTA (Huntersville, NC)
- …unpaid claims and clear up discrepancies, including denials + Investigate and appeal claims that were denied + Ability to complete correspondence that is ... Primary Objective The Insurance Specialist creates and sends medical claims ...these should be reported to their immediate supervisor/manager for resolution and or escalation as needed. Equal Employment Opportunity… more
- Beth Israel Lahey Health (Burlington, MA)
- …identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims ,...the Central Billing Office. 15. Independently works on the resolution of complex claims issues, denials and… more
- Beth Israel Lahey Health (Danvers, MA)
- …identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims ,...the Central Billing Office. 15. Independently works on the resolution of complex claims issues, denials and… more
- Northern Light Health (South Portland, ME)
- …payments and reconciles with cash logs, daily and month end. + Processes denied claims , follows appropriate appeal process, and escalates as needed per payer ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… more
- CareOregon (Portland, OR)
- …under the major medical benefit. + Follow policies and procedures to determine a resolution to pharmacy claims adjudication issues or triage to other CareOregon ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title Pharmacy… more
- Methodist Health System (Dallas, TX)
- …cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in… more
- UTMB Health (Galveston, TX)
- …Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital ... Patient Account Specialist - Revenue Cycle HB Billing & Denials...claims . Identifies billing issues affecting hospital and/or physicians claims /accounts and takes necessary action to ensure timely and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Caris Life Sciences (Irving, TX)
- …problem resolution . + Overall responsibility will be to follow-up on all claims from billing through final resolution , and reduce delinquent accounts to ... With focus on data integrity and precision: + Process claims in an automated billing system + Collect and...patient insurance information needed to complete the billing, collections, appeal , and/or cash processes + Demonstrate a balance of… more
- Sevita (Ann Arbor, MI)
- …balances on the aging and overpayment account and follow the credit balance procedure for resolution + Prepare appeal packet as required by payer, scan and save ... we serve and for our employees. **Accounts Receivable Collections Specialist ** Do you have experience in Accounts Receivable/Collections and...to the company's commitment to serve others by sending claims to the payer in a timely and accurate… more