- State of Indiana (Indianapolis, IN)
- Claim Processing & Reimbursement Specialist Date Posted: Nov 14, 2024 Requisition ID: 452358 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin ... objectives and innovation. Role Overview: The Claim Processing & Reimbursement Specialist is... is responsible for the efficient, accurate, and compliant processing of reimbursement claims submitted… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...sound decision-making capabilities + Working knowledge utilizing an automated claim processing system and the Microsoft Office… more
- CenterLight Health System (Flushing, NY)
- …with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processing + Ensures that refund checks ... JOB PURPOSE: The Claims Specialist will support department operations...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Attends JOC meetings… more
- CVS Health (Franklin, TN)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... care more personal, convenient and affordable. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses claim...of medical claims for reimbursement through knowledge of medical… more
- Josselyn (Northbrook, IL)
- …in compliance with departmental policies and procedures. Resubmit primary and secondary claims Identify potential claim issues and escalate to management. ... Following up on outstanding claims + Handling claims correspondence + Reviewing and processing insurance...claim issues + Maintaining detailed records of all claims activity + Communicating regularly with policyholders, claimants, and… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching...for all insurance payors to insure proper and maximum reimbursement . Uses multiple systems to resolve outstanding claims… more
- 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...+ Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and… more
- CenterWell (Topeka, KS)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... claim activities and designated agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare ...or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare… more
- 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 ... that's a big plus! + Learn essential skills in claims processing while being part of a...+ Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and… more
- Whitney Young Health Center (Watervliet, NY)
- …date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience ... Claims Coding Specialist (Req 100825) Watervliet,...and government programs; identifies areas that would permit enhanced reimbursement and reduce denials of claims . +… more
- Modernizing Medicine (Boca Raton, FL)
- …with team members across the US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a ... for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key...Featured Job TH Ad TH Comments **Similar Jobs** Document Processing Specialist UnityPoint Health Finley Hospital Patient… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- **Business Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 **Employment ... of affordable housing has an opening for a Business Processing Specialist in Albany, NY. This is...annual contract rent adjustments. * Evaluate and approve owner's claims for reimbursement due to unpaid rent,… more
- New York State Civil Service (Melville, NY)
- …to this position. Duties Description Oversees all aspects of workers' compensation claims processing from inception to closing; reviews individual claims ... Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative… more
- Bozeman Health (Bozeman, MT)
- …denials, returned claims , claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may ... to include insurance follow-up related to no response, returned claims , denied claims , or claim ...issues identified to supervisor + Assists Customer Service with claim processing questions + Identifies and escalates… more
- Priority Health Care (Marrero, LA)
- …Cycle Specialist I can be organized and clarified into distinct categories: Claims Processing and Revenue Generation: + Collect outstanding claims . + ... clearinghouses, and Remittance Advice (RA)/Explanation of Benefits (EOBs) daily to ensure claims processing . Financial Management: + Post deposits daily or… more
- St. Luke's University Health Network (Allentown, PA)
- …Knowledge and experience in dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB DUTIES AND… more
- Randstad US (Cary, NC)
- reimbursement specialist . + cary , north carolina + posted october 16, 2024 **job details** summary + $20 - $22 per hour + temporary + high school + category ... business and financial operations occupations + referenceAB_4629953 job details The Reimbursement Specialist performs healthcare insurance and health benefit… more
- Johns Hopkins University (Middle River, MD)
- …third-party payers. + Appeals rejected claims and claims with low reimbursement . + Performs claim edits as needed. + Confirm credit balances and gathers ... of medical billing applications. + Utilize online resources to facilitate efficient claims processing . + Knowledge of medical terminology, CPT codes and… more
- Johns Hopkins University (Middle River, MD)
- …policies and billing requirements. Resolve or assist in the resolution of claim processing or payment disputes. **Specific Duties & Responsibilities** ... preferred. + Knowledge of Epic billing system preferred. Classified Title: Reimbursement Specialist Role/Level/Range: ATO 37.5/02/OE Starting Salary Range:… more