- MultiPlan (Atlanta, GA)
- …agreements for future claims * Update provider data base for reference and claims processing on subsequent claims 2. Initiate provider telephone calls ... discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum...AND RESPONSIBILITIES: 1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim… more
- HealthTexas (San Antonio, TX)
- Job Purpose The Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims , addressing provider ... Providing prompt and accurate responses to inquiries related to claims processing . Documenting phone calls to include...pm, and as needed to complete projects. Travel to medical offices may be necessary for the purpose of… more
- Option Care Health (Columbus, OH)
- …up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing . Sends letters to the ... patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.Ensures compliance with policies and guidelines… more
- LHH Recruitment Solutions (Phoenix, AZ)
- Medical Billing Specialist - Follow up...follow up and collections and obtain additional information for claims processing . This position is located in ... Collections LHH Recruitment Solutions is searching for a full-time Medical Billing Specialist on a Direct Hire... to insurance companies and governmental entities for payment processing . Pursuing unpaid claims and addressing denials,… more
- Cambia Health Solutions, Inc (Tacoma, WA)
- … terminology, anatomy and coding (CPT, DX, HCPCs).Knowledge of Regence claims processing and clinical services operations.Demonstrated initiative and analytical ... Appeals Specialist IRemote within WA, ID, OR, and UTPrimary...appropriate system.Appeal Analysis - Review claim coding and claim processing history, medical policy and reimbursement policies,… more
- Creative Financial Staffing (Raleigh, NC)
- …Benefits Specialist will support the bi-weekly and semi-monthly payroll processing for both hourly and salaried employees, ensuring accuracy and timeliness. This ... Cafeteria Section 125, COBRA, and ACA regulations. The Payroll and Benefits Specialist will handle employee benefit plans, including medical , dental, vision,… more
- Accounting Now (Tampa, FL)
- …revenue cycle or prior authorizations for inpatient/outpatient, hospital/physicianExperience in healthcare claims processing and proficiency with medical ... The Denials Specialist performs advanced-level work related to clinical and...and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims… more
- WSFS Bank (Newark, DE)
- …operations for ATMs, including closing cash orders, handling adjustments, filing of claims , processing of general ledger entries, in-depth research, and ... than part of our name, it's our mission and our purposeThe ATM Settlement Specialist is responsible for performing all functions required to support over 4,500 ATMs… more
- Toyota Boshoku America, Inc (Erlanger, KY)
- …and retirement programs plan administrator.1Provide support for eligibility, claims , appeals, plan transactions, etc.2Understand and explain general information ... annual enrollment process.5Provide and send out proper documentation for medical support orders.6Assist with vendor billing.7Support monthly benefits reconciliation… more
- US Tech Solutions, Inc. (Columbia, SC)
- …and cross training of coworkers. Experience: . 2 Years Customer service or claims processing experience Skills: . Strong oral and written communication skills. ... Job Title: Call Center Specialist Work Location: Columbia SC 29203 Duration: 3+...onsite interviews This person will be interacting directly with Medical Directors and will need a high level of… more
- Creative Financial Staffing (Mounds View, MN)
- …to minimize refunds.We are seeking an individual with experience in medical insurance, third-party payers and processing refundsPrimary Responsibilities: Review, ... The Accounts Receivable Credit Specialist is responsible for reviewing all insurance and...resolve credit activity Research claim payment discrepancies and rebill/refund claims as needed Initiate refunds of identified overpayments and… more
- Russell Tobin & Associates (Phoenix, AZ)
- …and telephones. High PC proficiency Proficient in spreadsheet, database, and word processing software. Knowledge of HIPAA and standard code sets and their ... Functional testing within various health plan domains (reports, commissions, claims , financials, customer service, operational reports, providers, products, and… more
- Prestige Staffing (Fort Worth, TX)
- …Interviews patients to obtain demographic and insurance information necessary for medical record identification and bill processing Inputs patient registration ... Patient Services Specialist for Baylor Scott & White Health, Fort...Knowledge of patient registration procedures and documentation Knowledge of medical insurance claims procedures and documentation Skill… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...acute care hospital, HMO or IPA environment. + Experience processing all types of medical claims… more
- CGI Technologies and Solutions, Inc. (Latham, NY)
- ** Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Latham **Position ID:** J0424-0975 **Employment ... (HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY. Under the direction of the… more
- University of Rochester (Rochester, NY)
- …**Qualifications:** + Required: 1. Associates degree and 2 years of professional medical claims billing and collecting experience. OR Certification obtained from ... calls, correction of a claim - rebilling, investigation of medical documentation, addition of a modifier, claims ...calls, payer website, and written communication to ensure accurate processing of claims . **20%** Follows up on… more
- NJM Insurance (Trenton, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a Workers' ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a... medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Kelly Services (Glastonbury, CT)
- We are looking to hire a **Lead Medical Claims Specialist ** to support our client in Glastonbury, CT. **Hours:** 11:30 am to 8 pm Monday to Friday **Pay:** ... spreadsheet software, internet software, time keeping system, proprietary software, and medical coding/billing or insurance claims processing strongly… more
- Robert Half Accountemps (Glen Allen, VA)
- …industry, based in Glen Allen, Virginia. This role involves assisting the collections team, processing medical billing, and handling claims . This is a short ... Description We are seeking a Medical Billing Specialist in the Healthcare...the collections team in managing and processing medical bills * Handle medical claims… more
- Kelly Services (Glastonbury, CT)
- …(Spanish)** Customer Service Specialist to support our client in Glastonbury, CT. **Title:** Medical Claims Specialist / CSR **Hours:** 11:30 am to 8 pm ... $22 **Requirements:** **Bilingual (** **English/Spanish** **) Required** **Certificates and Licenses:** Medical coding/billing or insurance claims processing … more
