- Greenfield Rehabilitation Agency/Rehab Resources (Brookfield, WI)
- …insurance companies, and other stakeholders regarding billing statements, payments, and claims . Account Reconciliation: Monitor and reconcile patient accounts to ... Description Join Our Growing Team at Greenfield Rehabilitation Agency as a Billing Specialist ! Are you ready to make an impact? Greenfield Rehabilitation Agency is… more
- Accessia Health (Midlothian, VA)
- POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...obtaining health insurance to meet their healthcare needs Assess patient 's current and historical insurance status, healthcare needs, and… more
- PharmaCord (Louisville, KY)
- …to our Talent Acquisition team immediately at ###@pharmacord.com The Pharmacy Quality Specialist is responsible for performing various types of audits, acting as a ... documentation, and reporting for operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the following:… more
- PharmaCord (Jeffersonville, IN)
- The Quality Specialist is responsible for performing various types of audits, acting as a subject matter expert, creating documentation, and reporting for ... operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the following: Conduct call and case audits for… more
- PharmaCord (Cincinnati, OH)
- …timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education. A typical day in this role will include ... ownership of your patient journey from initiation to closure by using your...Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals. Generate reports and analysis… more
- PharmaCord (Jeffersonville, IN)
- …A typical day in the life of a Medical Billing and Coding Specialist will include the following: The responsibilities include, but are not limited to ... and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes Educate offices about the medical necessity requirements… more
- Modernizing Medicine (Tampa, FL)
- …across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping ... primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections… more
- Prime Healthcare (Ontario, CA)
- …members to join our corporate team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries ... regulations, when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of… more
- Billings Clinic (Billings, MT)
- …every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL ... reimbursement for all claims from government and third party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… 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...vital part of a team that's dedicated to enhancing patient care through meticulous claims management and… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per ... case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to… 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
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...insights that directly improve the quality and efficiency of patient care. At LogixHealth, we're committed to Making intelligence… more
- Ascension Health (Austin, TX)
- **Details** + **Department:** Patient Accounting + **Schedule:** Full-time, 8 hour day shift, Monday - Friday, Remote + **Facility:** Ascension Care Management ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...Pacific Medical Centers and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual… more
- AnMed Health (Anderson, SC)
- …to account information. Prepares and files electronically or hard copy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining ... mail in lockbox. + Detailed accuracy for scanning insurance information to patient 's records. Qualifications + High school diploma or GED. + Good communication… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …receivable, typically allocated based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist include regular and consistent ... patient accounting projects, charge entry, and cash applications. The Patient Accounting Billing Specialist II performs analysis of persistent billing… more
- Trinity Health (Ann Arbor, MI)
- …patient demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of ... in a timely and appropriate manner including assisting with submission of patient centered claims to insurance carriers. Interprets data, draws conclusions,… more
- Guthrie (Towanda, PA)
- …to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, ie diagnosis and ... invoice is correct. Follows up with payers on unresponded claims . Works denied claims by following correct...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be responsible ... and accurate completion of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the highest complexity for a large multi-facility… more
