- Rose International (Atlanta, GA)
- …and performance expectations autonomously Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Individuals ... hands on experience. High School Diploma or equivalent required Healthcare and medical claim overpayment remediation and refunding experience is required 2-4+ years'… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …essential functions.Monthly creation of billable charges for designated patientsMonthly claims billing; follow -up, re-billing, secondary billing and correction ... large dialysis providers for the past 13 years in a row. The Billing Specialist must have effective communications skills. This position requires a large degree of… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility, ... all primary payments and denials for accuracy as well as sending out initial claims , corrected claims and appeals.Starting pay: $23.00/hr. This position is for… more
- Accounting Now (Tampa, FL)
- …Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely ... The Denials Specialist performs advanced-level work related to clinical and...or prior authorizations for inpatient/outpatient, hospital/physician Experience in healthcare claims processing and proficiency with medical billing… more
- Credit Acceptance Corporation (Atlanta, GA)
- …a total loss.Work accounts to process all paperwork necessary to complete GAP claims for consumers that have purchased supplemental GAP coverage with their vehicles. ... Follow company policies and procedures to protect Credit Acceptance's...and outbound calls that are made to settle insurance claims in a compliant manner as quickly as possible.Manage… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …and attention to detail. General knowledge of accounting principles, pharmacy operations, and medical claims . Acceptable use of medical industry vernacular. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...process in which they are handled. Collect PA requirements, follow up with the insurance for prior authorization status,… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow -up of all initial denial ... services as well as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all denials and ensure… more
- Accounting Now (Tampa, FL)
- …balances), research and resolve problem accounts, and request adjustments or rebills on claims . Duties: Research, initiate follow -up, and resolve all unpaid or ... underpaid system debit balances on Medicare insurance claims ; includes but is not limited to remit review,...to determine the root cause of our underpayment and follow appropriate policy and procedure to remediateNavigate through various… more
- Prestige Staffing (Fort Worth, TX)
- …or receiving outpatient services to include obtaining demographic, insurance, and medical information; collecting co-pays and deposits; scheduling follow -up ... Patient Services Specialist for Baylor Scott & White Health in...Knowledge of patient registration procedures and documentation Knowledge of medical insurance claims procedures and documentation Skill… more
- Accounting Now (Pinellas Park, FL)
- … Billing and Collections Specialists in St Petersburg, Florida. Billing & Collections Specialist The medical billing and collection specialist is responsible ... of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking… more
- American Honda Motor Co Inc (Chino, CA)
- …you to join our team to Bring the Future!Job PurposeThe Mediation Specialist reviews and assesses pre-litigation/buyback dispute cases for resolution consistent with ... guidelines, with high emphasis on negotiation and problem resolution. The Mediation Specialist must review each case on its merits, and apply decision-making skills… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …HP contracted payers with provider information deemed necessary to process and pay claims accurately and to support an accurate provider roster. Works in partnership ... with the Quality Specialist , the Provider Relations Representative and the Central Verification...receipt of payer effective date notices. Contacts payers to follow -up on enrollment status, secure provider numbers, effective dates… more
- Select Medical (Camp Hill, PA)
- …discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide ... Medical is an EOE Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/297123/ claims -resolution-- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID** _297123_… more
- Health First (Rockledge, FL)
- …require use of personal vehicle. **Job:** **Clerical Support* **Organization:** **HRE dba HF Medical Equipment* **Title:** *DME Claims Specialist - ... and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied claims ....invoices, follow up and resolution of denied claims . *Primary Accountabilities * 1. Process medical … more
- Billings Clinic (Billings, MT)
- …based on government, contract or other regulations or agreements. The Claims Specialist is responsible for appropriate follow up on all accounts pending ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I - CBO (Full-time/Billings) CENTRAL… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...3 days working from home. Responsibilities CalAIM Billing and Follow up + Ensure claims meet the… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...3 days working from home. Responsibilities CalAIM Billing and Follow up + Reviewing data and creating Claims… more
- City of New York (New York, NY)
- …and settle claims within delegated monetary authority level; 7) Review medical providers and law firms to ensure all entities are in Financial Management ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... Claims Coding Specialist (Req 100825) Watervliet,...System (HCPCS) coding; use of modifiers documentation guidelines for medical service provision, patient case management, follow -up,… more
- HUB International (Ellicott City, MD)
- …for report to insurer via Accord Notice or, to Warm Transfer / release insurer claims 800 line. + Provide follow up with claim acknowledgments and adjuster ... We currently have an opportunity for a **Claim Service Specialist ** to join our team in our **Ellicott City,...automobile and homeowners and commercial lines property and casualty claims activity in accordance with the practices, policies and… more
