- UHS (Las Vegas, NV)
- …procedures. Utilize Cobius to review and track the life of a denial. Checks claim status via online and through the Payor Portals. Checks eligibility and updates the ... insurance iplan based on verified insurance coverage. Works on payer based spreadsheets, communicates trends to leadership. Participates on payer conference calls, trend analysis and meeting daily, weekly and department quotas. Handles a variety of payers with… more
- UF Health (Gainesville, FL)
- …the billing and collection of professional services. This includes: billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, ... of payment variance invoices, follow up and resolution of denied claims . Qualifications Minimum Education and Experience Requirements: High school graduate or… more
- The EW Scripps Company (San Diego, CA)
- …orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Patient Account Specialist is responsible for a variety of billing and follow-up tasks ... relating to claims processing; contacts responsible parties to resolve past-due accounts;...provider, liable third parties and patient to get a claim processed and paid. Supports continuous improvement of organization… more
- AdaptHealth LLC (Boca Raton, FL)
- …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents… more
- Outreach Community Health Centers, Inc (Milwaukee, WI)
- …communication skills, including oral, written, and presentation abilities. Experience with Medicare and Medicaid claims is preferred. Familiarity with insurance ... years of experience in healthcare, billing, and alternate payor reimbursement claims processing. Previous experience with medical terminology and coding is required.… more
- Ensemble Health Partners, Inc. (Fairborn, OH)
- …Dayton Springfield Emergency Center in Fairborn, OH The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving ... Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed… more
- University of the Pacific (Stockton, CA)
- Posting Details Position Information Job Title Clinical Services Support/Billing Specialist Union Level Department Audiology Clinic San Francisco Campus San ... and in consultation with the Department Chair, the Clinical Services, the Support Specialist plays a pivotal role in the advancement of the Department of Audiology's… more
- Ensemble Health Partners, Inc. (Luray, VA)
- …at Page Memorial Hospital We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
- Lake County, IL (Waukegan, IL)
- …04/22/2025 Salary Grade: Hourly.4 Pay Grade: 4 General Description The Electronic Billing Specialist is a valuable member of our Finance team who under general ... paper and electronic EDI billing files to Medicaid/Managed Care Organizations, Medicare , private insurance and all other revenue sources through our clearinghouses,… 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
- Helping Hand (La Grange, IL)
- …Service Loan Forgiveness (PSLF) Program. A TYPICAL DAY FOR YOU AT HH: Process claims for Medicare , Medicaid, HMO's and PPO's, and all other private insurances. ... Job Category Accounting Description ABOUT THE ROLE: The Billing Specialist is responsible for working with the Billing Coordinator...of the system of internal controls for the entire claims cycle. Assist in developing policies and procedures as… more
- Zencon Group (Orange, CA)
- Job Description: The Grievance Resolution Specialist (Provider Resolution) will coordinate the Grievance and Appeal resolution process, respond to verbal and written ... providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.… more
- Beth Israel Lahey Health (Burlington, MA)
- …the Manager of the Office of Sponsored Research, the Contracts Specialist works with investigators, sponsors and contract research organizations, and collaborating ... research agreements in accordance with Lahey and BILH policies. The Contracts Specialist reviews and negotiates contract terms and conditions, develops and maintains… more
- City of Coronado, CA (Coronado, CA)
- …The Organization The City of Coronado is accepting applications for Payroll Specialist The Department of Administrative Services is responsible for the divisions of ... the administrators of the City's financial system. The Position The Payroll Specialist is a stand-alone journey-level classification that is assigned to the… more
- City of Baltimore (Baltimore, MD)
- …of data sets and methodologies pertinent to older adult populations such as Medicare and Medicaid claims data. Knowledge of survey development and design. ... Knowledge of the principles and practices of the biomedical sciences and public health. Knowledge of the objectives, scope, and functions of Federal, State and local health laws and regulations that apply to public health. Knowledge of interviewing and… more
- Community Medical Services (Scottsdale, AZ)
- …in person training Community Medical Services (CMS) is hiring an Enrollment Specialist . This role will complete verification of client eligibility on various, ... Medicaid, Medicare & Commercial Provider Portals. Maintain day to day...and submit all Demographics to applicable Payers. Research rejected Claims related to member data and resolve discrepancies. Provide… more
- HCA Healthcare (Austin, TX)
- …want to join an organization that invests in you as a Medical Collections Specialist ? At Surgery Ventures, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medical Collections Specialist like you to be a part of our...and work to correct them You will monitor insurance claims and contact insurance companies to resolve claims… more
- University of Utah (Salt Lake City, UT)
- Announcement Details Open Date 05/13/2025 Requisition Number PRN41889B Job Title Compliance Specialist Working Title Compliance Specialist Job Grade E FLSA Code ... and federal regulations regarding payments in health care to audit claims correctly. Minimum Qualifications Bachelor's degree in Health Care Administration, Business… more
- Highmark Health (Buffalo, NY)
- …outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share ... contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio… more
- Community Health Service Inc. (Rochester, MN)
- …who are underinsured or uninsured. We also accept ND and MN Medicaid, Medicare , and most private insurance plans. We currently operate four nurse-managed clinics, ... We are searching for a Full-time Accounts Payable Coordinator/Payroll Specialist to join our Rochester, MN team. In an...pregnancy, race, religion, sexual orientation, or veteran status. CHSI facilities are deemed under the Federal Tort Claims Act… more
