- Rose International (Atlanta, GA)
- …meeting metric and performance expectations autonomously Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations ... more than expected by payer); actions included but not limited to initiating refund packets, retractions, and/or adjustments to claims Navigate through various… more
- MultiPlan (Atlanta, GA)
- …generate measurable results. This role pursues collections on errant healthcare claims made to various healthcare provider entities. JOB ROLES AND RESPONSIBILITIES: ... 1. Collect overpayments made by insurance companies and processes return payments from healthcare provider... clients and providers on aging inventory. 4. Send refund request letters to healthcare providers. 5. Contact healthcare… more
- CVS Health (Pittsburgh, PA)
- …in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution ... and other third party payers. As part of the Refund team, you will work in a fast paced...and team focused environment to resolve credit balances for insurance and patient balances. We will support you by… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Refund Specialist at LogixHealth, you will work independently to provide cutting-edge solutions that will ... a desire to learn. Key Responsibilities: + Print all refund paperwork daily + Review all daily print logs...and vision, 401(k), PTO, paid holidays, life and disability insurance , on-site fitness center and company-wide social events. About… more
- SCI Shared Resources, LLC (Whittier, CA)
- …the Account Claims Specialist II when unable to resolve. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party ... functions of the job with or without reasonable accommodations. + File and process funeral insurance claims and assist with third party insurance claims … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: ... **Work Experience** + 6 months of experience in medical claims or health insurance -related customer service or...to previously processed claims , the processing of claims edits, or initiation of refund requests,… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial ... coding guidelines, claims procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2… more
- Select Medical (Camp Hill, PA)
- …you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an ... **Overview** ** Claims Resolution Specialist ** **Starting at $17.50...and operational needs. + Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Sale, Excise and Severance Division is responsible for receiving, verifying and paying claims for refund submitted by taxpayers of the state. This division ... Revenue Tax Specialist 1 or 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4649994) Apply ...laws prior to the issuance of any bill or refund , the adjustment of returns and taxpayer accounts and… more
- Guidehouse (Lewisville, TX)
- …GED + 8+ years working knowledge can be of the following: credits, insurance claims , billing, coding, follow-up, finance, accounting or customer service related ... reach out to Chris Rivera (Recruiting Manager) at ###._** The **Credit Balance Specialist Team Lead** will manage credit balance workloads and respond and follow-up… more
- Johns Hopkins University (Middle River, MD)
- …role communicates with payers to resolve issues and facilitate prompt payment of claims . Follows up with insurance companies to collect outstanding accounts for ... as needed. + Confirm credit balances and gathers necessary documentation for processing refund . + Identifies insurance issues of primary vs. secondary … more
- Alabama Oncology (Birmingham, AL)
- …keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the ... Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned...problems, issues, or payor trends to supervisor. + Resubmits insurance claims within 72 hours of receipt.… more
- TEKsystems (San Bernardino, CA)
- …and analyze status of insurance refunds and communicate professionally with insurance companies regarding status of requests, paid/pending claims and the ... of unpaid claims . Determines and submits appropriate documentation for refund approvals and follows guidelines as outlined in FPBO policies and procedures… more
- Veterans Benefits Administration (Philadelphia, PA)
- Summary The incumbent serves as an Insurance Specialist in the Policyholder Services Division, Account Services of the Philadelphia Reginal Office & Insurance ... Department of the Treasury. Determines fraud by the Check Claims Department of the Treasury and ensures that the...through Friday, 6:00am - 6:00pm; Flex schedules available Title/PD#: Insurance Specialist GS - 9; PD 03682A… more
- Robert Half Accountemps (Baltimore, MD)
- …a strong background in medical billing and medical collections. * Familiarity with claims processing, insurance claims , and patient collections is necessary. ... Description We are in search of a Medical Billing Specialist to join our team operating in BALTIMORE, Maryland....for proper account/claim adjudication * Correct, complete, and process claims for all payer codes, ensuring their accurate dispatch… more
- Cleveland Clinic (Independence, OH)
- …care contracts, Medicare, Medicaid, and departmental policies regarding timely filing of claims . + Address insurance , reimbursement, and payment issues as ... insurance , providers, patients, and pharmacists. + Prepare manual/electronic claims and submit with appropriate documentation. + Verify benefits and eligibility… more
- Northeast Family Services (New Rochelle, NY)
- Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is an established and growing organization with locations in 9 ... are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- CareOregon (Portland, OR)
- …hybrid position with 1-2 days per month in the office Job Summary The Billing Specialist ensures that claims are billed accurately on a timely basis. This ... diagnosis and procedure codes efficiently and accurately. + Reviews and corrects denied claims and re-bill for payment and/or call insurance company as necessary… 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 ... account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager. REMOTE ROLE - Work From Home *… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- Summary The Supervisory Financial Administrative Specialist , GS-0501-11 is positioned in the Consolidated Patient Account Center (CPAC). Serves as a Supervisor of ... under the position's area of responsibility. The Supervisory Financial Administrative Specialist is the technical authority and subject matter expert in the… more
