- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Medicare/ Medicaid Claims **Equal Employment Opportunity** CareFirst BlueCross ... Specialist II. **Preferred Experience:** Advanced use/testing of medical claims processing platform: FACETS **Knowledge, Skills and Abilities (KSAs)** +… more
- BrightSpring Health Services (Uniondale, NY)
- 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...D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- Hackensack Meridian Health (Eatontown, NJ)
- … claims . **Responsibilities** A day in the life of a Pharmacy Claims Specialist at Hackensack Meridian _Health_ includes: 1. Submit daily prescription ... Assist with Customer Pre-Admission Price Quotes. 11. Check Medicaid eligibility on Medicaid Pending LTC residents and rebill claims 12. Other duties as… more
- Dignity Health (Bakersfield, CA)
- …types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to ... include Paid Time Off and Sick Leave. **Responsibilities** The Claims Examiner III is an advanced-level role responsible for...of CPT, ICD-10, HCPCS coding, and medical terminology. + Associate 's Degree - Associate 's Degree in healthcare… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… more
- Elderwood (Buffalo, NY)
- …Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims , utilizing Frameworks LTC Pharmacy ... Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including, but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Texas A&M University System (Dallas, TX)
- Job Title Clinical Coding Specialist I Agency Texas A&M University Health Science Center Department Oral Surgery Proposed Minimum Salary $22.00 hourly Job Location ... What we want The College of Dentistry is looking for a Clinical Coding Specialist I to serve in the Comprehensive Dentistry department. We desire an individual who… more
- Northern Light Health (Brewer, ME)
- …accounts and billing. + Knowledge of requirements of the Centers for Medicare & Medicaid Services (CMS) claims forms; CMS-1500 and CMS-1450 (UB04). + Knowledge ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… more
- The Arora Group (Fort Sam Houston, TX)
- …thirty minute or one-hour (non-compensable) lunch break. DUTIES OF THE MEDICAL BILLING SPECIALIST : + Monitors insurance claims and patient accounts in work ... + Manages and works assigned queues to appropriately process claims , including clearing house claims . + Research...Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) or Associate college degree in… more
- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Billing Specialist assists with the various activities of the pharmacy operations not ... requiring the professional judgment of the pharmacist. The Billing Specialist is primarily responsible for completing the billing of both pharmacy and medical … more
- Rescue Mission of Trenton (Trenton, NJ)
- Revenue Cycle Specialist (Trenton, NJ) Can you look into the eyes of someone who is struggling and see their pain - while also seeing their potential? Are you ... else to turn can live with dignity, experience hope and see new opportunities. Revenue Cycle Specialist We are looking for a person who wants to be part of a vibrant… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... accounts including drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing staff regarding insurance… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Fairview Health Services (Minneapolis, MN)
- …claim issues. Maintain accurate billing and collections for home infusion claims , performing collection tasks and analyzing accounts for necessary documentation. ... according to established procedures to support day-to-day operations Process home infusion claims accurately and timely. + Review accounts for all needed information… more
- Amgen (Minneapolis, MN)
- …and transform the lives of patients while transforming your career. **Field Reimbursement Specialist - Minneapolis, MN** **What you will do** Let's do this. Let's ... the world. In this vital role the Field Reimbursement Specialist (FRS) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
- Intermountain Health (North Salt Lake, UT)
- …Medical Billing Specialist is responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintain ... detailed/accurate account documentation. Follow-up on open claims thoroughly, accurately, promptly, and with all supporting documentation responsible for maintaining… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Stony Brook University (East Setauket, NY)
- Revenue Cycle Specialist - Revenue Recovery and Retention **Position Summary** At Stony Brook Medicine the **Revenue Cycle Specialist ** will work within the ... optimize Managed Care reimbursement and minimize denials. **Duties of an Revenue Cycle Specialist may include the following, but are not limited to:** + Analyze… more