- 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
- Robert Half Accountemps (Greendale, IN)
- …and highly organized individual to join our client's team as a Medical Insurance Claims Follow Up Specialist . In this role, you will be responsible for ... coding errors, eligibility issues, and billing discrepancies. Take appropriate action to appeal denials and resubmit claims for reconsideration. + Communication:… more
- Trinity Health (Farmington Hills, MI)
- …further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as ... Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations… more
- TEKsystems (Houston, TX)
- …coverage/ verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance opportunities. Accurately documents ... whether to escalate issues/concerns to management for review, guidance, and resolution . Participate in quality monitoring and in identifying and reporting quality… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle PB Billing & Denials... appeal * Review, research, and processes denied claims * Appeal claims as ... of patient accounts experience. **Job Summary:** The 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
- 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
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle PB Billing & Denials... appeal * Reviews, research and processes denied claims * Appeal claims as ... Health Requisition # 2400726 **Job Summary** The 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
- University of Rochester (Rochester, NY)
- …claim - rebilling, investigation of medical documentation, addition of a modifier, claims appeal , etc. Prioritizes account work efficiently and effectively. ... Responsibilities **Job Summary** The Physician Billing specialist is responsible for resolving unpaid or rejected...identifies problems and takes appropriate action to assure claim resolution . **10%** Mails paper claims with appropriate… more
- Conduent (Los Angeles, CA)
- … Specialist ** **Pay $17-22hr (Based on Experience)** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking ... status of overpayment and refund process to ensure account resolution . The Insurance/Collections Specialist is responsible to...be paid by other payors or when providers should appeal or rebill claims with corrections. +… more
- Johns Hopkins University (Middle River, MD)
- …Cycle Specialist II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and ... Specialist II will use a comprehensive knowledge of claims submission requirements for all payors in order to...Uses A/R follow-up systems and reports to identify unpaid claims for collection/ appeal . + Gathers and verifies… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our...researching, analyzing, and resolving outstanding clinical denials and insurance claims . **What you will do in this role:** +… more
- Colorado State (Denver, CO)
- Employee Engagement Specialist & Team Lead Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4467121) Apply Employee Engagement Specialist & ... and job protection. Serves as the primary position responsible for Workers' Compensation claims for CDLE. This position will serve to create a streamlined employee… more
- Johns Hopkins University (Baltimore, MD)
- … II_** who will be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and ... claim's submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of claims...Uses A/R follow-up systems and reports to identify unpaid claims for collection/ appeal . + Gathers and verifies… more
- Colorado State (Denver, CO)
- Revenue Assessment Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4460037) Apply Revenue Assessment Specialist Salary ... for each fiscal year. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open to residents… more
- Johns Hopkins University (Baltimore, MD)
- …Specialist_** who will be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications ... claim's submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of claims...Uses A/R follow-up systems and reports to identify unpaid claims for collection/ appeal . + Gathers and verifies… 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 (Charlestown, MA)
- …identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist ... **Work Shift:** Day (United States of America) 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 ... **Work Shift:** Day (United States of America) 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
- Sacramento County (Sacramento, CA)
- Construction Management Specialist Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3647866) Apply Construction Management Specialist ... works project or multiple projects of less complexity. The Construction Management Specialist assists in ensuring that projects are constructed in accordance with… more
- Molina Healthcare (Milwaukee, WI)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more