- Atrius Health (Chelmsford, MA)
- …health and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Medical Claims Follow -Up Specialist * ... are not limited to: responding to payer correspondence, submitting appeals for denied claims including writing medical necessity appeals, reviewing claims … 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...additional review. They independently review accounts and apply billing follow up knowledge required for all insurance payors to… more
- Billings Clinic (Billings, MT)
- …based on government, contract or other regulations or agreements. The Claims Specialist is responsible for appropriate follow up on all accounts pending ... every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES… more
- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing ... medical claims , identifying appropriate medical records and providers, and documenting follow -up actions. This role operates under the direction of… more
- Robert Half Accountemps (St. Louis, MO)
- …the different types and how to handle each one. * Expertise in managing medical claims , including understanding medical terminologies and procedures related ... Healthcare Claims Processor with a strong background in healthcare AR follow -up, insurance claim collection, and claims processing. This role is critical… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a(an) ** Claims Compliance Specialist WFH?** At Work from Home, you come first. HCA ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...part of our team. **Job Summary and Qualifications** The ** Claims Compliance Specialist f** or SCCIPA serves… more
- City of New York (New York, NY)
- …and settle claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities are in Financial Management ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- TEKsystems (Murray, UT)
- …applies checks, credit cards, and other sources of payment for pharmacy and medical claims . + Accurately evaluates the correct adjustments for medical ... providers, insured members, and third parties. Accurate correction of claims history and medical expense accounts. +...the supervisor for further collection action. + Responsible for follow up on all claims adjudicated that… more
- Whitney Young Health Center (Albany, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... Claims Coding Specialist (Req 100825) Albany,...System (HCPCS) coding; use of modifiers documentation guidelines for medical service provision, patient case management, follow -up,… more
- Aaron's Inc (Atlanta, GA)
- **Club Claims Specialist ** The Hourly range for this role is $14.00 to $16.00 per hour* **Overview** : As a **Club Claims Specialist ** , will manage the ... **Total Rewards** : Our comprehensive benefits package** includes: + Medical , Dental, Vision + Employee Retirement Plan, 401(k) +...claims process improvements. + . Initiates and conducts follow -ups via proficient use of claims systems… more
- Lincoln Financial Group (Columbus, OH)
- …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations....diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- BrightSpring Health Services (Oklahoma City, OK)
- …professionals. The Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical ... Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... backgrounds. + Ability to maintain a record keeping and follow -up system. + Ability to work independently, requiring minimal...provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave,… more
- Truist (Whiteville, NC)
- …differentiated client experience, track all unresolved issues accurately, to ensure timely follow up and resolution. Servicing specialists act as client advocates to ... various Truist technologies to improve their individual banking experience. 6. Follow established policies, procedures, guidelines, regulations, and laws to protect… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Billing/ Follow -up Specialist - Commercial Billing for a Full Time, 1.00 FTE, Day position.** The salary range for this ... payors. Responsible for all areas of billing and account follow -up including claims submission, account follow...and + Formal training or college coursework from a medical coding accredited school, specific to medical … more
- State of Colorado (CO)
- …the various State and Federal audits of the MMIS and resulting Medicaid claims reimbursement, provider enrollment and medical benefit coverage. This position can ... Disabled Buy-In Claims Test Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4792294) Apply Disabled Buy-In Claims Test Analyst… more
- Mindful Support Services (Tempe, AZ)
- …personally and professionally. About the role: The Insurance Follow -Up Specialist is responsible for reviewing rejected claims , posting insurance payments, ... year of experience with the following: + Resolving outstanding medical insurance AR by researching unpaid claims ...outstanding medical insurance AR by researching unpaid claims via insurance calls and portal navigation + … more
- Allied Universal (Billings, MT)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- AIG (Atlanta, GA)
- …range of products to customers through a diversified, multichannel distribution network. Claims Our claims professionals support AIG policyholders through some ... or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparallelled levels of expertise… more
- Robert Half Accountemps (Danville, KY)
- …health care organization that is seeking a detail-oriented and motivated Accounts Receivable/ Medical Insurance Follow -Up Specialist to join their finance ... area. The ideal candidate will have a background in medical billing and insurance claims processing, with... to determine appropriate action for resolution. + Conduct follow -up with insurance companies to ensure timely payment and… more