- Creative Financial Staffing (Mounds View, MN)
- …investigate and resolve credit activity Research claim payment discrepancies and rebill/ refund claims as needed Initiate refunds of identified overpayments ... The Accounts Receivable Credit Specialist is responsible for reviewing all insurance and...insurance and patient credit balances and determine whether a refund , a transfer, a reversal or correction of a… more
- Rose International (Alhambra, CA)
- …based upon a client's business needs and requirements.**The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- ProKatchers (Alhambra, CA)
- Job Description: The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- CVS Health (Monroeville, PA)
- …service pharmacy in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit ... and other third party payers. As part of the Refund team, you will work in a fast paced...Qualifications + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account… more
- UCLA Health (Los Angeles, CA)
- Description As the Credit and Refunds Specialist , you will be responsible for: * Reviewing inpatient and outpatient claims /balances to ensure maximum collection ... Performing all required duties within the patient accounting systems * Following refund and reimbursement procedures and, after researching credit balances * Prepare… more
- Johns Hopkins University (Middle River, MD)
- …able to recognize and resolve incorrect demographic and insurance registration. The Specialist must have an understanding of claims submission requirements for ... will be responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and... submission process, either electronically or by paper. The Specialist will be assigned payor groups of outstanding patient… more
- Johns Hopkins University (Middle River, MD)
- …AR Revenue Cycle Specialist II will use a comprehensive knowledge of claims submission requirements for all payors in order to expedite payments. The AR Revenue ... II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM...Cycle Specialist II will research and interpret medical … more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. **Summary** The PBS Customer Service Specialist is responsible for creating a positive patient experience while interacting ... in a high-volume call center and/or in person. The Specialist will work to review and resolve patient inquiries,...physician) and the ability to review and explain how claims processed according to the Explanation of Benefits. This… more
- Alabama Oncology (Birmingham, AL)
- …accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate ... Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving… more
- TEKsystems (Murray, UT)
- …applies checks, credit cards, and other sources of payment for pharmacy and medical claims . 2. Accurately evaluates the correct adjustments for medical ... MURRAY, UT IS LOOKING TO BRING ON A RECOVERY SPECIALIST TO JOIN THEIR PREMIUM BILLING TEAM. If you...providers, insured members, and third parties. Accurate correction of claims history and medical expense accounts. 1.… more
- Carle (Urbana, IL)
- Rev Cycle Billing Specialist + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type: Full - ... Save Apply Now Position Summary: Proficient in Revenue Cycle Account Billing Specialist 1 responsibilities. Additionally, acts as a billing and reimbursement expert… more
- BrightSpring Health Services (Englewood, CO)
- …Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one ... top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work...for a broad range of collection processes related to medical account receivable in support of a single or… more
- TEKsystems (Timonium, MD)
- …MUST HAVE: Any experience within medical payment posting, cash posting, medical billing, medical claims , or something similar! Description: Fully ... TekSystems is currently hiring for a Medical Payment Poster in the Hunt Valley area,...apply payments against Follow up on rejected or denied claims per remittance. Identify overpayments and notify collectors or… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** Do you have at least one year of medical business office or pharmacy technician experience? We at MHealth Fairview are looking for you to join our ... Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts for documentation,… more
- United Musculoskeletal Partners (Plano, TX)
- **DESCRIPTION** **Job Summary:** **Responsible for submitting claims , appeals, and following up on outstanding balances from the patients insurance. Responsible for ... be assigned. **Key Functions:** + Prepares and submit clean claims to various insurance companies either electronically or on...contracted fee schedule. + Work and process all insurance refund requests. + Report payer issues or delays to… more
- CVS Health (St. Paul, MN)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... convenient and affordable. Review and adjust SF, FI, Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with… more
- Methodist Health System (Dallas, TX)
- …Billing incoming correspondence via mail and electronic sources such as EOBs, Overpayment/ Refund request, medical records request, etc. * Review and identify ... but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry. *...other received data to index and distribute to AR Specialist II for follow up. * Manage incoming and… more
- TEKsystems (Salt Lake City, UT)
- …payment checks from providers, insured members, and third parties. + Accurate correction of claims history and medical expense accounts. + Team member will be ... making approximately 400 outbound calls over the course of a month. + They receive a list of both providers and members each day, start researching what each situation entails (why they're reaching out to them), and then make the outbound calls letting members… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …operations, will proficiently perform duties as outlined in one of the following areas: Medical Claims Support Rep, Support Specialist (PAS), Mail Clerk, ... Collection Assistant, Secondary Billing, Senior Support Specialist (PAS). - MEDICAL CLAIMS ...them. e. Perform miscellaneous tasks such as filing, putting refund checks in envelopes and screening microfiche. - MAIL… more
- University of Rochester (Rochester, NY)
- …payment methodology, including add-ons + Follow up with payers on incorrectly paid claims through final resolution and adjudication, including refund of credits ... or certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician… more