- Healthfirst (NY)
- **Responsibilities:** + **_Managing day to day operational issues and concerns from hospital partners_** including but not limited to roster maintenance and claim ... health plan business objectives + **_Serving as an advocate for Hospital Providers within Healthfirst_** + **_Work closely with numerous departmental partners_**… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... reimbursement for all claims from government and third party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching...1-3 years of Medicare and Commercial billing in a hospital and/or clinic setting required. + Certified Professional Biller… more
- Avera (Brookings, SD)
- …delivering high-quality care and personalized service. Brookings Health System is seeking a ** Claims Specialist ** to join our team! This position will have full ... Consider joining an **Award Winning Health Care System -** The National Rural Hospital Association has named Brookings Health System a Top 20 Rural Community … more
- TEKsystems (Deerfield Beach, FL)
- Description We are looking for Mechanical Claims Analysts to join our growing customer contact team. You will be providing exceptional customer service and your ... a team that reviews, investigates, and authorizes minor mechanical claims based on a wide range of established contract...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- BrightSpring Health Services (Englewood, CO)
- …complex pharmaceutical products and clinical services to patients outside of the hospital . As one of the most respected Specialty Infusion providers in America, ... Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of… more
- Trinity Health (Farmington Hills, MI)
- …and appealing them based upon clinical expertise and clinical judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business ... and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to...in the assigned state. **Experience working with PB medical claims processing denials and appeals needed** **Experience working with… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** Hospital Billing Claims Certified Application Coordinator or Professional Billing Claims Certified ... Coordinator **REMOTE: position allows for work remote opportunity** **Resolute Hospital Billing Certified Application Coordinator or Resolute Professional Billing… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be responsible ... and accurate completion of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the highest complexity for a large multi-facility… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely ... billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable...Follow-Up, and Denial activities necessary to obtain payment/resolution of claims . * Review the entire account to ensure … more
- Beth Israel Lahey Health (Charlestown, MA)
- …Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely ... billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable...Follow-Up, and Denial activities necessary to obtain payment/resolution of claims . . Review the entire account to ensure … more
- Scripps Health (San Diego, CA)
- …who thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the ... **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Patient Account Specialist - Hospital Billing Governmental Services * **Location:**… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL NURSE SPECIALIST (CNS)- NICU at Mott Hospital Apply Now **Job Summary** The Clinical Nurse Specialist will be responsible for providing expert ... action employer. **Job Detail** **Job Opening ID** 231862 **Working Title** CLINICAL NURSE SPECIALIST (CNS)- NICU at Mott Hospital **Job Title** CLIN NURSE SPEC… more
- Robert Half Accountemps (Pasadena, CA)
- …A Southern California Hospital is in the immediate need of a Hospital Medical Collections Specialist with commercial insurance experience. The Hospital ... payor via phone and web portals. The Medical Collections Specialist must have 2 - 3 years of Acute...HMO and PPO knowledge -Reviewing EOB's Microsoft and capitated claims -Insurance correspondence -MUST have Hospital Acute… more
- Robert Half Accountemps (San Gabriel, CA)
- …to provide support in resolving unpaid and denied claims to ensure that claims are paid. The Medical Insurance Collections Specialist must have at least 2 ... oriented to join the team. This growing company is looking for a Medical Insurance Collections Specialist . The Medical Insurance Collections Specialist will used… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- Job Summary The Patient Account Specialist is responsible for accurate and timely billing of all services delivered as well as ensuring all revenue is collected. Job ... Duties + Ensure accurate and timely billing of claims to payers. Verify all services delivered are billed...Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary… more
- TEKsystems (Norfolk, VA)
- Remote Hospital Charge Specialist Remote with equipment provided!! Must live within 2.5 hours of Chesapeake, VA. You'll enjoy Standard Hours - training ... medical record and other applicablehospital documentation . Assigning modifiers to appropriate claims . Researching edited claims for medical necessity, and… more
- Morris Hospital (Morris, IL)
- …accounts in a fast paced goal oriented collections department. The Collections Specialist adheres to government and third party payor guidelines when resubmitting ... claims , improves revenue cycle capture accuracy as a result...capture accuracy as a result of analyzing applicable Morris Hospital contracts and reconciling to payments received, resolving denials,… more
- Sharp HealthCare (San Diego, CA)
- …practices. **This is a temporary position located on-site at Sharp Grossmont Hospital .** **Assignment will be an estimated 3-5 months with working hours 7:30am ... - 4pm, Monday - Friday.** **What You Will Do** HRTM Specialist is the first point of contact for employee and leader support via Sharp's Talent Hub. Provides… more
- Boulder Community Hospital (Boulder, CO)
- Benefits Specialist - Leaves and ADA Boulder Community Health, Boulder, CO 80303 $25.98 - $38.98 an hour Full-Time, Days, 32-40 hours per week Hybrid We have 2 new ... Benefits Specialist openings. We are open to considering candidates with...the research and resolution of administrative issues and escalated claims issues. *Responds to employee inquiries promptly to ensure… more