- Scripps Health (San Diego, CA)
- …one 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 ... with Scripps Health for over 10 years. As a Patient Account Specialist , you will be supporting...patient or correct any billing error and resubmitting claims to insurance carriers. * Keeps updated on all… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Risk and Claims Specialist RISK MANAGEMENT (BILLINGS ... Starting Wage DOE: $23.92 - 29.90 Under general supervision, the Risk & Claims Specialist is responsible for providing administrative, secretarial, and database… more
- Billings Clinic (Billings, MT)
- …every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL ... reimbursement for all claims from government and third party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...vital part of a team that's dedicated to enhancing patient care through meticulous claims management and… more
- Dignity Health (Bakersfield, CA)
- …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and ... employers with a business objective to excel in coordinating patient care in a manner that supports containing costs...improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with… more
- Hackensack Meridian Health (Eatontown, NJ)
- … claims . **Responsibilities** A day in the life of a Pharmacy Claims Specialist at Hackensack Meridian _Health_ includes: 1. Submit daily prescription ... batches for payment by third party payers. 2. Research and establish patient eligibility coverage with prescription insurance providers. 3. Maintain and update … more
- FlexStaff (Bronx, NY)
- **Req Number** 152179 ** Claims Specialist ** Bronx, NY Schedule: M-F, 8:30am to 5:30pm Work Location: Hybrid Assignment Length: Undetermined, potential for Direct ... Hire **FlexStaff** is seeking a ** Claims Specialist ** for our client, a non-profit...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Analyzes patient and… more
- Pacific Medical Centers (Renton, WA)
- **Description** Must be an accomplished claims adjudicator with at least 3 years prior claims processing experience. This role is a senior level position and ... will have responsibility for the advanced processing, auditing, and reporting on claims production and quality. This role will assist in responding to Customer… more
- Providence (Renton, WA)
- **Description** Must be an accomplished senior level claims adjudicator with at least 3 years prior claims processing experience and a proven track record of ... Athena IDX software. This role will work closely with Claims Management and Providence MCA support teams to investigate,...care providers in King, Snohomish and Pierce counties. Our patient and staff populations are culturally diverse, creating a… more
- FlexStaff (New York, NY)
- **Req Number** 150868 One of our high profile clients is seeking a Claims Specialist to support department operations related to provider communication, pending ... review, reporting, auditing, and oversight activities. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...Pacific Medical Centers and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... or one year of patient accounts experience. **Job Summary/Description:** The Patient Account Specialist will be responsible for billing all third party… more
- UTMB Health (Galveston, TX)
- Sr. Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... years Epic Revenue Cycle experience **Job Description** The Sr. Patient Account Specialist will be responsible for...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... years Epic Revenue Cycle experience **Job Description:** The Sr. Patient Account Specialist will be responsible for...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional… more
- Stony Brook University (Commack, NY)
- Claims Processor **Required Qualifications (as evidenced on attached resume):** Associates degree (foreign equivalent or higher). In lieu of degree, two (2) years of ... working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. Knowledge of… 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
- Guthrie (Sayre, PA)
- …to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, ie diagnosis and ... invoice is correct. Follows up with payers on unresponded claims . Works denied claims by following correct...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects,… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1405087 Posted On 01/17/2025 **Job Overview** ** Claims Processing Representative** ... telecommuting options available Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in people's lives.** Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for ... Follow-Up, and Denial activities necessary to obtain payment/resolution of claims . . Review the entire account to ensure ...claims . . Review the entire account to ensure claims were billed properly, payments were applied correctly, and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Remote work schedule. Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible ... Follow-Up, and Denial activities necessary to obtain payment/resolution of claims . * Review the entire account to ensure ...claims . * Review the entire account to ensure claims were billed properly, payments were applied correctly, and… more