- 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
- 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
- State of Colorado (Denver, CO)
- Employee & Labor Relations Human Resources Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4475856) Apply Employee & Labor ... Relations Human Resources Specialist Salary $56,028.00 - $70,032.00 Annually Location Denver, CO Job Type Full Time Job Number FAA01048-04/18/24 Department… more
- El Paso County (Colorado Springs, CO)
- …medical ICD-10 codes and CPT medical billing codes. + Strong knowledge of insurance claims processing and claims resolution . + Familiarity with HIPAA privacy ... Medical Billing Specialist - Part Time Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4482548) Apply ...or rejected claims . Resolves issues and re-submits claims . + Prepares appeal letters to insurance… more
- UTMB Health (Galveston, TX)
- …Identifies denials and underpayments for appeal * Review, research, and processes denied claims * Appeal claims as appropriate according to policies and ... Patient Account Specialist - Revenue Cycle Patient Accounts **Galveston, Texas,...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of… 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)
- 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
- State of Colorado (Denver, CO)
- Life Safety and Environmental Risk Specialist - Colorado Mental Health Hospital in Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4482356) Apply Life Safety and Environmental Risk Specialist - Colorado Mental Health Hospital in Fort Logan… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... outcomes regarding appeal process. Assists billing staff regarding outpatient denials for...Provides billing with information needed to obtain payment of claims . Remote within local geography after orientation. JOB DUTIES… 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
- HCA Healthcare (Brentwood, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our...researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and… more
- HCA Healthcare (Brentwood, 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
- 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 (Burlington, 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 *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3647866) Apply Construction Management ... 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
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...provides appropriate follow‐up for claims that require correction/ appeal . 3. Demonstrates skills… more