- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist / Healthcare Claims Denials Specialist ** , you will: + Ensure ... High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection procedures and… more
- BrightSpring Health Services (Oklahoma City, OK)
- …of patients nationwide through our growing network of branches and healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of ... pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims...Pharmacy + 1+ years pharmacy experience + Pharmacy or healthcare -related knowledge + Knowledge of pharmacy terminology including sig… more
- Guidehouse (San Antonio, TX)
- …/ business setting. **What Would Be Nice To Have** **:** + Has active understanding of healthcare claims appeal process + UB-04 / CMS 1500 background + PC skills ... You Will Need** **:** + High School Diploma/GED or 3 years of relevant healthcare and/or business experience in lieu of High School Diploma/GED. + 0-2+ years… more
- Molina Healthcare (NM)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience… more
- Providence (OR)
- **Description** Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will process claims for members, providers, and employers. ... best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members,… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing...Eight or more years of insurance experience within a healthcare or managed care setting (preferred) Claims … more
- DoorDash (Tempe, AZ)
- …ambitious cross-functional partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk ... company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as...Durable Medical Equipment. We are reimagining access to in-home healthcare to improve the quality of life for the… more
- Robert Half Accountemps (Tucson, AZ)
- …healthcare industry focused in Behavioral Health, is in need for a Medical Billing/ Claims specialist near downtown Tucson! You will be tasked with managing ... medical claims and ensuring accurate billing and collections. This position...to learning new EHR systems. Responsibilities: * Handle medical claims with precision and ensure timely processing * Utilize… more
- Kelly Services (Wichita Falls, TX)
- …isn't always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist to work in a temporary to hire opportunity with a ... Top Healthcare Client in Wichita Falls, TX. ** We're here...so let's get to work.** **Apply to be a Claims Specialist today!** As part of our...to work.** **Apply to be a Claims Specialist today!** As part of our promise to talent,… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist - Hybrid **Job Description** The Claims Specialist ... multiple tasks simultaneously **Preferred Qualifications** + 2+ years of experience in claims , insurance, or healthcare + Extensive experience using Excel… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment...and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,… more
- Robert Half Accountemps (Cedar Rapids, IA)
- Description We are offering a contract to hire employment opportunity for a Medical Claims Specialist in Cedar Rapids, Iowa. This role is in the healthcare ... and will be based in a dynamic and fast-paced environment. As a Medical Claims Specialist , you will be tasked with managing and processing medical claims ,… more
- Beemac Logistics (Pittsburgh, PA)
- This individual will be responsible for handling freight claims filed by the owner of the goods, investigating and settling claims in accordance with carrier ... analyzing reports, and related bills. + Create and manage claims SOP. + Complete freight claim paperwork with transportation.... Health Savings Account (HSA): Take charge of your healthcare expenses and savings with our Health Savings Account… more
- Modernizing Medicine (Boca Raton, FL)
- We are united in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc. 5000 Fastest-Growing ... US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping...career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced … more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts ... complex claims for advanced processing needs. Responds to Customer Service...supporting the administration of managed care products. + IDX healthcare software application. + CHAMPUS, Medicare and/or Medicaid benefits/programs.… more
- HCA Healthcare (Denver, CO)
- …of office notes or other documents that are required to be attached to the claims for processing. + Assists EDI Specialist as directed by the EDI Manager ... Do you have the career opportunities as a Billing Specialist you want with your current employer? We have...which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Rocky Mountain… more
- Access Dubuque (Dubuque, IA)
- …End Date 20241215 Featured Job TH Ad TH Comments **Similar Jobs** Claims Assistant Sedgwick Document Processing Specialist UnityPoint Health Finley Hospital ... Claims Processing Representative **Grand River Medical Group** 1...in Dubuque, IA. We provide a wide range of healthcare services from primary care to subspecialty care for… more
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