- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- BrightSpring Health Services (Uniondale, NY)
- …retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...+ Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… more
- Elderwood (Buffalo, NY)
- …Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims , utilizing Frameworks LTC Pharmacy ... Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing Specialist I/II Salary ... (II), the incumbent performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… more
- Montrose Memorial Hospital (Montrose, CO)
- …healthcare. All About You : + High school diploma or equivalent; Associate degree preferred. + AAHAM (American Association of Hospital Administrative Management) ... CRCS (Certified Revenue Cycle Specialist ) preferred. + 2 years hospital PFS department experience...of hospital billing, collections and payment application for Medicare, Medicaid and Commercial insurances + Ability to effectively communicate,… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of Commonwealth Care Alliance (CCA) ... pharmacy program. Operational functions include: claims oversight and resolution, monthly EOB reviews and monthly formulary and pharmacy directory files review and… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 2 - 46091 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2; OR current NYS employee with one year or more of permanent… more
- Randstad US (Lexington, KY)
- …up with insurance companies and patients to ensure appropriate collection of medical claims + Maintaing Preventative Medicaid and Manage Care Organizations + ... medical coding specialist . + lexington , kentucky + posted 4...either a CPC or APC coding certificate. Health Information associate 's degree preferred but not required. salary: $17 -… more
- Northern Light Health (South Portland, ME)
- …accounts and billing. + Knowledge of requirements of the Centers for Medicare & Medicaid Services (CMS) claims forms; CMS-1500 and CMS-1450 (UB04). + Knowledge ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… more
- The Arora Group (Fort Sam Houston, TX)
- …thirty minute or one-hour (non-compensable) lunch break. DUTIES OF THE MEDICAL BILLING SPECIALIST : + Monitors insurance claims and patient accounts in work ... + Manages and works assigned queues to appropriately process claims , including clearing house claims . + Research...Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) or Associate college degree in… more
- Sevita (Ann Arbor, MI)
- …the people we serve and for our employees. **Accounts Receivable Collections Specialist ** Do you have experience in Accounts Receivable/Collections and a desire to ... impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment...to the company's commitment to serve others by sending claims to the payer in a timely and accurate… 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
- Omaha Children's Hospital (Omaha, NE)
- …into payments, and ensures accurate payor and government reimbursement on all claims . **Essential Functions** + Follows up on outstanding insurance and government ... payor claims and charges in follow-up work queues and on...COB registration information. If prior insurance pays more than Medicaid allowable when Medicaid is secondary, handles… more
- Sevita (Charlotte, NC)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...needed _Qualifications:_ + High school diploma or equivalent required; Associate or Bachelor's degree preferred + 2-3 years of… more
- Robert Half Finance & Accounting (Cincinnati, OH)
- Description We are searching for a Medical Billing Specialist to join our team in CINCINNATI, Ohio. In this role, you will handle all aspects of our medical billing ... be primarily working within a long-term care setting, dealing with Medicare, Medicaid , and other related billing systems. Responsibilities: * Oversee the accurate… 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
- Baptist Memorial (Memphis, TN)
- …and external customers to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for timely follow up. ... Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing. Responsible for follow up on… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- US Anesthesia Partners (Greenwood Village, CO)
- Overview The Accounts Receivable Specialist is responsible for managing and overseeing the accounts receivable paper processes of the medical office. This role ... timely collections, and effective communication with patients and insurance companies. The specialist will primarily work remotely but will be required to perform… more