- PRISM Vision Group (New Providence, NJ)
- …payers to resolve issuesCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and ... Summary:The Revenue Cycle Specialist is responsible for billing and collecting payments....and perform complex account investigation as needed to achieve resolution .Review and resolve uncollected accounts and prepare charge corrections.Appeal… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Claims Resolution Specialist -...determine exact nature of controversy. + Gathers and analyzes medical information related to claims in order ... regulations. An important role of these positions is to independently facilitate a resolution of disputed claims at the earliest possible juncture and thereby… 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 schedule. The Claims Resolution Specialist is responsible...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… more
- TEKsystems (Waco, TX)
- We are hiring for Health Insurance/ Medical Claims specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist ... support our clients. If you have experience working within medical insurance roles handling claims , payer portals,...must. + This position is highly focused on the resolution of insurance processing errors and denials. + Payers… more
- Axis (Red Bank, NJ)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... investigations to determine liability, damages, and coverage.** **Makes recommendations regarding resolution strategy for such claims including reserve adequacy;… more
- Sedgwick (East Meadow, NY)
- …- Professional Liability **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- Robert Half Accountemps (Costa Mesa, CA)
- Description We are looking for a Medical Collections Specialist to join our team in Costa Mesa, California. The role will focus on working with insurance ... companies, government payors, and patients for the resolution of payments and accounts. The successful candidate will be responsible for evaluating claims ,… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... all facets of trial preparation to affect a successful resolution of litigated cases. + Utilizes knowledge, experience and...TRANSIT's assets. + Analyzes, audits and approves payment of medical bills and expenses associated with claims … more
- CVS Health (Monroeville, PA)
- …an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... Qualifications + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account review/… more
- BrightSpring Health Services (Englewood, CO)
- …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of ... Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer… more
- Axis (New York, NY)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... all aspects of Payment Resolution Specialist role to support progressive responsibility....organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance,… more
- Pilgrim's (Greeley, CO)
- Accounting Resolution Specialist Purpose and Scope/General Summary: We are looking for an Accounting Resolution Specialist for Pilgrim's who responds to ... via phone and email. + Investigate root cause of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire...following compensation and benefits : + Benefits : Vision, Medical , and Dental coverage begin after 60 days of… more
- Penn Medicine (Radnor, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...Market Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:** CPUP **Location:** Hospital ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...St **Hours:** Full time regular **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials… more
- TEKsystems (Waco, TX)
- …terminology, insurance coverage, patient registration, insurance billing, insurance follow up, appeals, medical record, claims resolution , denied claims , ... Skills: claims , insurance, data entry, Insurance verification, Health care, Medical billing, Health insurance, medicare, claim, insurance companies, medical … more
