- 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 ...+ Follow workflows to complete daily tasks. + Conduct claims and provider research using claims… more
- Select Medical (Camp Hill, PA)
- …Do you enjoy puzzles and research ? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide… 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,...date . Four (4) years of progressive experience in medical billing and claims processing in a… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Training Specialist III (ALD) Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Claims Training Specialist III is primarily responsible for the overall training… more
- CenterWell (Atlanta, GA)
- …+ High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures ... and help us put health first** As a **Healthcare Claims Denials Specialist /Accounts Receivable Specialist **...designated agencies, and the timely reimbursement of receivables. + Research , resolve, and prepare claims that have… more
- Beemac Logistics (Pittsburgh, PA)
- This individual will be responsible for handling freight claims filed by the owner of the goods, investigating and settling claims in accordance with carrier ... claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing and analyzing reports, and related bills.… more
- US Bank (St. Paul, MN)
- …of focus, including but not limited to case/ claims processing, claims , disputes and risk-based actions, investigative research , secondary review, customer ... processing systems, risk management platforms, case management applications, and research or analytical tools. **The role offers a hybrid/flexible schedule,… more
- Guidehouse (San Antonio, TX)
- …+ Communicate to Guidehouse management areas of concern or areas of improvement. + Research and respond to all patient inquiries received by telephone and mail. + ... To Have** **:** + Has active understanding of healthcare claims appeal process + UB-04 / CMS 1500 background...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Allied Universal (Beckley, WV)
- 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …Advantage, Medicare Supplement, and individual plans._** **Responsibilities** **Cash Recovery Specialist ** Reviews and research routine to moderately complex ... to moderately complex refunds and returned checks for paid claims . Research departmental and membership data/files to.... Performs other duties as assigned. **Senior Cash Recovery Specialist ** Reviews and research moderately complex to… 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 ... the basis of level, scope and complexity of professional billing duties assigned. Medical Billing Specialist III is the advanced-journey level class performing… more
- Johns Hopkins University (Middle River, MD)
- …claims submission requirements for all payors in order to expedite payments. The Specialist will research and interpret medical policies regarding denials ... submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of ...medical billing applications. + Utilize online resources to research policy and regulations to facilitate efficient claims… more
- Johns Hopkins University (Baltimore, MD)
- …claims submission requirements for all payors in order to expedite payments. The Specialist will research and interpret medical policies regarding denials ... submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of ...medical billing applications. + Utilize online resources to research policy and regulations to facilitate efficient claims… more
- Johns Hopkins University (Middle River, MD)
- …claims submission requirements for all payors in order to expedite payments. The Specialist will research and interpret medical policies regarding denials ... submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of ...medical specialty environment. Classified Title: AR Revenue Cycle Specialist II Job Posting Title (Working Title): AR Revenue… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...+ Associates Degree preferred + 5 years experience in medical billing or health claims , with experience… more
- Spectrum Billing Solutions (Skokie, IL)
- …| Revenue Cycle Billing Specialist | Insurance Specialist | Revenue Cycle Claims Specialist | Medical Billing Specialist | Revenue Cycle AR ... in gaining knowledge and new skills. The Revenue Cycle Medical Billing Specialist will be responsible for...| Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist… more
- Spectrum Billing Solutions (Skokie, IL)
- …| Revenue Cycle Billing Specialist | Insurance Specialist | Revenue Cycle Claims Specialist | Medical Billing Specialist | Revenue Cycle AR ... accurate manner + Verify correct insurance filing information + Research , resolve and resubmit any rejected claims ...| Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist… more
- Select Medical (Camp Hill, PA)
- …On-Demand Learning Modules _Availability of benefits is dependent on role with Select Medical ._ Do you enjoy puzzles and research ? Are you results-oriented? If ... specialist files Medicare part A and part B claims to Medicare. + Specialist determines if...or equivalent. + One or two years within a medical billing, medical collecting or claims… more
- Medical Mutual of Ohio (OH)
- …and other insurance companies. . Performs other duties as assigned. **Sr. COB Specialist ** Performs research to ascertain specifics of other coverage for members ... **Responsibilities** **COB Specialist I** Researches and responds to inquiries/issues to...update. . Reviews and approves appropriate payment order for claims pended to the Coordination of Benefits (COB) department… more
- The Arora Group (Fort Sam Houston, TX)
- …minute or one-hour (non-compensable) lunch break. DUTIES OF THE MEDICAL BILLING SPECIALIST : + Monitors insurance claims and patient accounts in work queues ... Medical Billing Specialist Admin Currently recruiting... Medical Billing Specialist Admin Currently recruiting a Medical ...to appropriately process claims , including clearing house claims . + Research issues and correct … more