• Associate Claims Specialist

    Providence (OR)
    **Description** Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will process claims for members, providers, and ... the best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims more
    Providence (11/15/24)
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  • Pharmacy Claims Specialist

    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 (11/06/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Uniondale, NY)
    Our Company PharMerica Overview Make the Move to PharMerica- Claims Specialist Opportunity! Ready to take your pharmacy experience to the next level? PharMerica ... looking for enthusiastic individuals to join our team as Claims Specialists in a closed-door, non-retail setting. This is...for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… more
    BrightSpring Health Services (09/03/24)
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  • Specialist , Claims Recovery

    Molina Healthcare (NM)
    **JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid , Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
    Molina Healthcare (11/06/24)
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  • Medical Billing Specialist III/IV

    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
    Ventura County (10/25/24)
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  • Pharmacy Billing Specialist

    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
    Elderwood (11/13/24)
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  • Medical Billing Specialist I/II

    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
    Ventura County (11/03/24)
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  • Patient Access Specialist 1

    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
    Trinity Health (09/27/24)
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  • Medical Assistance Specialist 1 (NY Helps)

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 (NY HELPS) - 79636, 11142 Occupational Category Other Professional Careers Salary ... (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.Transfer: Current NYS employee with one year or more of… more
    New York State Civil Service (11/01/24)
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  • Accounts Receivable Medical Collections…

    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...operations **_Qualifications:_** + High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred… more
    Sevita (11/16/24)
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  • AR Collections Specialist

    Sevita (Grand Rapids, MI)
    …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...operations **_Qualifications:_** + High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred… more
    Sevita (11/15/24)
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  • Provider Relations Specialist (Remote…

    Marshfield Clinic (Marshfield, WI)
    …most exciting missions in the world!** **Job Title:** Provider Relations Specialist (Remote Option within SHP Service Area) **Cost Center:** 682891544 SHP-Provider ... States of America) **Job Description:** **JOB SUMMARY** The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield Clinic… more
    Marshfield Clinic (11/06/24)
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  • Patient Access Specialist 1 (Full-time)

    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
    Trinity Health (11/11/24)
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  • Specialist -Customer Care II - HS Customer…

    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
    Baptist Memorial (11/02/24)
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  • Insurance Verification Specialist - Hybrid…

    TEKsystems (Fresno, CA)
    …and 2 days in office. Description: Job Description The Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to ... verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or… more
    TEKsystems (11/09/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... 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
    LA Care Health Plan (10/31/24)
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  • Patient Access Specialist I

    Trinity Health (Ann Arbor, 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 ... school diploma or an equivalent combination of education and experience. Associate degree in Accounting or Business Administration highly desired. **Experience:** +… more
    Trinity Health (09/25/24)
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  • Medical Assistance Specialist 1 (NY Helps)

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 (NY HELPS) - 79642 Occupational Category Other Professional Careers Salary Grade 18 ... (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.Transfer: Current NYS employee with one year or more of… more
    New York State Civil Service (11/09/24)
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  • Medical Assistance Specialist 1 (NY Helps)

    New York State Civil Service (Buffalo, NY)
    NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 (NY HELPS) - 79962, 79963 Occupational Category Other Professional Careers Salary ... (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.Transfer: Current NYS employee with one year or more of… more
    New York State Civil Service (11/01/24)
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  • Provider Contract Specialist (Remote Option…

    Marshfield Clinic (Marshfield, WI)
    …most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:** 682891544 SHP-Provider ... States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield Clinic… more
    Marshfield Clinic (10/24/24)
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