- Usaa (Los Angeles, CA)
- …and provide an objective subject matter expert (SME) knowledge to the Property Claims community and Third-Party vendors. You will drive USAAs financial strength by ... measuring and reporting estimate accuracy for Property Claims and Third-Party vendors. Find out more about the...of property and property repair estimates, and reports on payment accuracy and compliance by method of inspection (Staff,… more
- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... Virginia workers comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims … more
- HCA Healthcare (Dallas, TX)
- …Do you want to join an organization that invests in you as a Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has committed ... and you have the opportunity to make a difference. We are looking for a dedicated Claims Resolution Specialist like you to be a part of our team. **Job Summary… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I/Government (Full-time) ... claims from government and third-party payers. The Claims Specialist is responsible for preparing and...responsible for appropriate follow up on all accounts pending payment from government and third-party payers. Essential Job Functions… more
- Commonwealth Care Alliance (Boston, MA)
- …(CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies + ... 011250 CCA- Claims Hiring for One Year Term **_This position...coding logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** Do you enjoy puzzles and research? Are you results-oriented? If so, our ... Claims Resolution Specialist position may be a... Claims Resolution Specialist position may be a phenomenal career for you...all open balances for accounts that have received a payment or denial, or that are greater than 30… more
- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim… more
- Molina Healthcare (Kearney, NE)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with… more
- CDM Smith (Albuquerque, NM)
- …process. * Performs other duties as assigned. \#LI-LP2 **Job Title:** FEMA Claims Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary ... for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire....from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from… more
- Modernizing Medicine (FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... procedures, performs a variety of duties related to the payment posting function of the Management Services Organization (MSO)....satisfy the customer's perceived needs. **Duties and Responsibilities** + Payment prep and posting. + Sign out for … more
- Geisinger (Danville, PA)
- …and development of prospective claim edits and partnerships. + Determines payment compliance with clinical and reimbursement policies. + Researches CPT codes ... identified. + Leads internal development, testing, maintenance, and expansion of internal claims edits. + Leads the development of the ClaimsXten Policy Management… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. Reporting to the Payment Integrity Program Manager, the Payment Integrity Consultant uses industry ... prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment … more
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and ... minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to...with outstanding balances; leads meetings with payors to resolve payment and denial issues. * Writes and submits appeals… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Summary: Under the direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely ... and posting of all incoming payments and rejections of payment from insurance companies, patients, and third party payers...adjustments as necessary to ensure proper filing of supplemental claims to insurance companies. The staff in this position… more
- MyFlorida (Tallahassee, FL)
- …is a highly responsible and professional position in the investigation, evaluation and payment of workers' compensation claims handled by the Division of Risk ... Principle duties consist of the following: + The Workers' Compensation Specialist conducts detailed investigations of workers' compensation claims submitted… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Masonicare (Wallingford, CT)
- …to Medicare, Medicaid and Commercial Primary/Secondary beneficiaries. Submits third party claims and resolves billing, payment and collection issues. Essential ... Billing Specialist Job Location: Wallingford Center, Connecticut Billing ...receivable -aging, initiate- timely follow up calls and resubmit- claims and/or supporting information to receive- payment … more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in responses to payer's reason for coding-related… more
