- CVS Health (Monroeville, PA)
- …service pharmacy in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit ... and other third party payers. As part of the Refund team, you will work in a fast paced...Qualifications + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account… more
- UCLA Health (Los Angeles, CA)
- Description As the Credit and Refunds Specialist , you will be responsible for: * Reviewing inpatient and outpatient claims /balances to ensure maximum collection ... Performing all required duties within the patient accounting systems * Following refund and reimbursement procedures and, after researching credit balances * Prepare… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... accurately resolves credit balances. + Process internal and external refund requests. + Identify trends and escalate where appropriate....**What Would Be Nice To Have** **:** + Healthcare claims background + PC skills in a Windows environment… more
- Johns Hopkins University (Middle River, MD)
- …able to recognize and resolve incorrect demographic and insurance registration. The Specialist must have an understanding of claims submission requirements for ... will be responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and... submission process, either electronically or by paper. The Specialist will be assigned payor groups of outstanding patient… more
- Johns Hopkins University (Middle River, MD)
- …AR Revenue Cycle Specialist II will use a comprehensive knowledge of claims submission requirements for all payors in order to expedite payments. The AR Revenue ... II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM...Cycle Specialist II will research and interpret medical … more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. **Summary** The PBS Customer Service Specialist is responsible for creating a positive patient experience while interacting ... in a high-volume call center and/or in person. The Specialist will work to review and resolve patient inquiries,...physician) and the ability to review and explain how claims processed according to the Explanation of Benefits. This… more
- Alabama Oncology (Birmingham, AL)
- …accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate ... Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving… more
- TEKsystems (Murray, UT)
- …applies checks, credit cards, and other sources of payment for pharmacy and medical claims . 2. Accurately evaluates the correct adjustments for medical ... MURRAY, UT IS LOOKING TO BRING ON A RECOVERY SPECIALIST TO JOIN THEIR PREMIUM BILLING TEAM. If you...providers, insured members, and third parties. Accurate correction of claims history and medical expense accounts. 1.… more
- Carle (Urbana, IL)
- Rev Cycle Billing Specialist + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type: Full - ... Save Apply Now Position Summary: Proficient in Revenue Cycle Account Billing Specialist 1 responsibilities. Additionally, acts as a billing and reimbursement expert… 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 ... top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work...for a broad range of collection processes related to medical account receivable in support of a single or… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** Do you have at least one year of medical business office or pharmacy technician experience? We at MHealth Fairview are looking for you to join our ... Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts for documentation,… more
- TEKsystems (Timonium, MD)
- …MUST HAVE: Any experience within medical payment posting, cash posting, medical billing, medical claims , or something similar! Description: Fully ... TekSystems is currently hiring for a Medical Payment Poster in the Hunt Valley area,...apply payments against Follow up on rejected or denied claims per remittance. Identify overpayments and notify collectors or… more
- CVS Health (St. Paul, MN)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... convenient and affordable. Review and adjust SF, FI, Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with… more
- TEKsystems (Murray, UT)
- …payment checks from providers, insured members, and third parties. + Accurate correction of claims history and medical expense accounts. + Team member will be ... making approximately 400 outbound calls over the course of a month. + They receive a list of both providers and members each day, start researching what each situation entails (why they're reaching out to them), and then make the outbound calls letting members… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …operations, will proficiently perform duties as outlined in one of the following areas: Medical Claims Support Rep, Support Specialist (PAS), Mail Clerk, ... Collection Assistant, Secondary Billing, Senior Support Specialist (PAS). - MEDICAL CLAIMS ...them. e. Perform miscellaneous tasks such as filing, putting refund checks in envelopes and screening microfiche. - MAIL… more
- University of Rochester (Rochester, NY)
- …payment methodology, including add-ons + Follow up with payers on incorrectly paid claims through final resolution and adjudication, including refund of credits ... or certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician… more
- TEKsystems (Catonsville, MD)
- …actions taken and next steps for accounts receivable management. Initiates appeals, corrected claims submissions, or submits medical records in response to payer ... Private Pay Follow Up Cash and Denials posting Credit Balance and Refund resolution Resident Final Billing Customer Service-A/R Help Desk Month-end Close Translates… more
- University of Rochester (Rochester, NY)
- …or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and… more
- MetroLink (Los Angeles, CA)
- …+ Participate in developing strategies designed to keep projects on schedule and avoid claims such as damage assessment and effect on time schedules. + Work with the ... employer. The SCRRA is an Equal Opportunity Employer. EEO/ADA MEDICAL : SCRRA offers a choice of twelve (12) health...your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many… more
- TEKsystems (Catonsville, MD)
- …taken and next steps for accounts receivable management. + Initiates appeals, corrected claims submissions, or submits medical records in response to payer ... + Cash and Denials posting + Credit Balance and Refund resolution + Resident Final Billing + Customer Service-A/R...files to appropriate billing formats for electronic and manual claims submission to third party and private payers. +… more