- Walgreens (St. Petersburg, FL)
- … is completed and accurate prior to claim submission (ie, medical claims billing ). Process reimbursement checks/payment in accordance with policy. Review ... Job Description Responsible for the accurate billing and collection of third party and patient...and ensure there are corresponding SDL (submit direct link) claims . Review, research and resolve all third party chargebacks… more
- Trinity Health (Livonia, MI)
- …a week and on site one day a week. What you will do: Analyze medical claims and review billing information. Refer claims for further investigation if needed. ... Familiarity with ICD-9-CM, ICD-10-CM, and CPT coding required. 1-3 years of claims , adjusting, or billing experience preferred. Experience with Medicare… more
- Ridgeview Behavioral Health Services (Oak Ridge, TN)
- … claims submission and follow-up. Two+ years prior medical/ hospital claims and billing experience required. Excellent organization and communication (written ... in Oak Ridge, TN, has an immediate opening for a full-time Healthcare Billing Specialist. The schedule will be weekdays, 8am-4:30pm. The right candidate will join… more
- Medical University of South Carolina (Charleston, SC)
- …appropriately to follow up on outstanding denied claims and all no response claims . Corrects claims in electronic billing system for missing or invalid ... with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records....Use electronic billing system… more
- UHS (Virginia Beach, VA)
- …to ensure all functionality is utilize for the utmost efficient processing of claims . Responsible to report billing and collection trends, problems and issues ... abuse, dual diagnosis and partial hospitalization. VBPC is currrently looking for a Billing /Collections Rep . Responsible for timely and accurate billing and… more
- Curative HR LLC (Monrovia, CA)
- …negotiation and arbitration that health plans and providers must follow to resolve billing disputes. The Claims Negotiation Specialists primary goal will be to ... Claims Negotiation Specialists are needed to combat rising...of financial distress and bankruptcy for American families. "Surprise" billing occurs when a patient presents to an out-of-network… more
- Hospital for Behavioral Medicine (Worcester, MA)
- …Hospital Billing Specialist supports our mission by ensuring timely and accurate billing and follow-up of all claims , helping us maintain the financial ... overall success of our Business Office team. The Hospital Billing Specialist ensures claims are processed, corrected,...Office team. The Hospital Billing Specialist ensures claims are processed, corrected, and reimbursed in accordance with… more
- American Hospice and Home Health Care Services (Pleasanton, CA)
- …Position Summary: The DMEPOS Biller/Collections Coordinator is responsible for managing the billing , claims processing, and collections cycle related to durable ... and supplies (DMEPOS). This role requires a thorough understanding of billing procedures, payer requirements, and collections best practices to ensure timely… more
- Optum (San Antonio, TX)
- …accurate information obtained on the call Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to ... of experience with Medicare Part D, particularly the pharmacy record review, claims , billing and reimbursement rules 6+ months of experience with HIPAA Privacy… more
- UPMC Senior Communities (Harrisburg, PA)
- …productivity levels as defined by management. Qualifications: Must have 1 year of claims / billing /collections experience; OR 4 years in a business office setting; ... insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies,… more
- Optum (San Antonio, TX)
- …accurate information obtained on the call Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to ... of the Medicare Part D, particularly the pharmacy record review, claims , billing and reimbursement rules Bilingual language proficiency (English/Spanish)… more
- Optum (San Antonio, TX)
- …accurate information obtained on the call Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to ... of the Medicare Part D, particularly the pharmacy record review, claims , billing and reimbursement rules Bilingual language proficiency (English/Spanish)… more
- Beloit Health System (Beloit, WI)
- …Work remotely and independently (WI and IL residents only) Be responsible for accurate billing of health system services Prepare claims for billing through ... 2+ years' experience (within the last 3 years) of Medicare billing and claims resolution for institutional and professional claim management in the Medicare… more
- DATAECONOMY (Holmdel, NJ)
- …Work closely with FINEOS implementation teams to model and map policy administration , claims , billing , and customer data from FINEOS into enterprise data ... modeling within Life Insurance , with in-depth knowledge of policy, underwriting, claims , billing , and customer data. Proven expertise with FINEOS -understanding… more
- Sentara Healthcare (Norfolk, VA)
- …Rev Management experience Prev experience in Provider format preferred Experience with claims , billing /denials, reimbursement Ability to come on site during ... This role involves reviewing, processing, and following up on outstanding claims and payments to ensure timely reimbursement from insurance companies, consumers,… more
- AutoNation (Fort Lauderdale, FL)
- …coding warranty repairs and claims . This includes booking, coding, researching warranty claims and billing them to the appropriate operation codes. What are ... the day-to-day responsibilities? Process all claims by next business day following RO close date...order against the vehicles service history to avoid duplicate claims Provide a weekly report to the service manager… more
- HUB International Limited (San Francisco, CA)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. Identifies opportunities for cross-sell and ... not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis,… more
- HomeServices Insurance (St. Paul, MN)
- …coverage and risk management issues. Process policy changes and cancellations. Handle claims and billing inquiries. Foster and maintain good working ... and Casualty License Working knowledge of insurance agency operations, claims handling, coverages, rates, markets, and applicable insurance laws/codes. Thorough… more
- AdaptHealth LLC (Denver, CO)
- …related experience in health care administrative, financial, or insurance customer services, claims , billing , call center or management regardless of industry. ... Senior level requires two (2) years of work-related experience and one (1) year of exact job experience. Exact job experience is considered any of the above tasks in a Medicare certified. AdaptHealth is an equal opportunity employer and does not unlawfully… more
- World Insurance Associates LLC (Bogota, NJ)
- …advocacy, excellent service, and professional communication Handling renewals, service requests, claims , billing and new policies Maintain a thorough ... understanding of the markets and their appetites, underwriting guidelines, submitting and procedures Review all applications, policies, endorsements and audits for accuracy Complete loss/claim analysis and summaries Coordinate expiration list with department… more
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