- BrightSpring Health Services (Taunton, MA)
- …and top-quality care come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a portfolio of rejected pharmacy ... claims to ensure maximum payer reimbursement and timely billing...D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- BrightSpring Health Services (Vancouver, WA)
- … processing and payer subject matter expert* Provide support to 3rd Party Claims Specialist I answering operational questions* Support supervisory team by ... a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere with the… more
- Montrose Memorial Hospital (Montrose, CO)
- …+ The Claims Analyst III must know the essential functions of denied claims for Medicare, Medicaid and Commercial payers for accurate payments of services ... portals. All About You : + High school diploma or equivalent; Associate degree preferred. + AAHAM(American Association of Hospital Administrative Management) CRCS… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4487403) Apply Medical Billing Specialist I/II Salary ... (II), the incumbent performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… more
- Elderwood (Buffalo, NY)
- …Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims , utilizing Frameworks LTC Pharmacy ... Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy… more
- Conduent (Los Angeles, CA)
- … Specialist ** **Pay $18-20hr based on experience** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking ... timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/recovery of medical claims with… more
- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Medical Assistance Specialist 1 - 79640 Occupational Category Other Professional Careers Salary Grade 18 Bargaining ... with permanent or contingent-permanent status as a Medical Assistance Specialist 1; OR current NYS employee with one year...Either 1: Six years of qualifying experience;Or 2: an Associate 's degree AND four years of qualifying experience;Or 3:… more
- Northern Light Health (South Portland, ME)
- …accounts and billing. + Knowledge of requirements of the Centers for Medicare & Medicaid Services (CMS) claims forms; CMS-1500 and CMS-1450 (UB04). + Knowledge ... 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
- Trinity Health (Chelsea, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Insight Global (Atlanta, GA)
- Job Description Prepares standardized, uniform, or customized claim forms to all Medicaid /Medicare and CMO carriers in a timely and accurate manner. Maintains ... as well as completing referrals, late charges and returned claims from coding and audit accurately and within the...UB-92 and HCFA-1500 claim forms for submission to Medicare, Medicaid , and Champus in a timely and accurate manner.… more
- New York State Civil Service (Buffalo, NY)
- NY HELP No Agency Health, Department of Title Medical Assistance Specialist 1 - 79961 Occupational Category Other Professional Careers Salary Grade 18 Bargaining ... with permanent or contingent-permanent status as a Medical Assistance Specialist 1; OR current NYS employee with one year...Either 1: Six years of qualifying experience;Or 2: an Associate 's degree AND four years of qualifying experience;Or 3:… more
- Sevita (Raleigh, NC)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...needed Qualifications: + High school diploma or equivalent required; Associate or Bachelor's degree preferred + 2-3 years of… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... 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
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** 40 ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals… more
- Glens Falls Hospital (Glens Falls, NY)
- …Come join our team of medical billing experts as the Accounts Receivable Specialist ! This is an exciting opportunity that can further develop your skills in ... customer service, medical billing, and financeinhealthcare. If you are an associate level or an experienced administrative professional with a working knowledge… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals… more
- Hartford HealthCare (Farmington, CT)
- …of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and homecare to ... insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in active… more