- BrightSpring Health Services (Uniondale, NY)
- …billing to eliminate financial risks + Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party ... focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh… more
- Medical Mutual of Ohio (OH)
- …the development of more junior staff. . Performs other duties as assigned. ** Senior Business Systems Specialist ** Works with management, external vendors, and ... skills. . Intermediate proficiency with Power BI, Tableau, SQL tools preferred. ** Senior Business Systems Specialist ** . Bachelor's Degree in Business… more
- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans. **Responsibilities** **Membership Services Specialist I** Processes routine and/or less complex enrollment and billing ... to provide support to sales. . Performs other duties as assigned. ** Senior Membership Services Specialist ** Under moderate supervision, processes routine to… more
- Scripps Health (San Diego, CA)
- …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 the ... Health for over 10 years. As a Patient Account Specialist , you will be supporting the Billing Services department...guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or only… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the procedures billed on the claim/bill;… more
- HCA Healthcare (Las Vegas, NV)
- …diversity and inclusion thrive? Submit your application for our Medical Insurance Collections Specialist opening with HCA Healthcare today and find out what it truly ... by location._** We are seeking a(an) Medical Insurance Collections Specialist for our team to ensure that we continue...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- BrightSpring Health Services (Vancouver, WA)
- …Experience in healthcare billing environment (pharmacy preferred) + Familiarization with on-line claims processing and Medicaid and Medicare billing practices + ... focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh… more
- Precise Systems, Inc. (Lexington Park, MD)
- …exceptional service and the Precise solution. We are currently seeking a Senior Benefits Specialist . This individual will be responsible for coordinating, ... implementing, and administering the Wellness program. Distinguishing Characteristics Further, the Senior Benefits Specialist will serve as a resource for… more
- Presbyterian Homes and Services (Roseville, MN)
- …Specialistto join its finance team. Responsibilities The Care Center Billing Specialist performs a variety of general tasks including preparing Skilled Nursing ... cash and checks). + Provide timely follow up with insurance companies on unpaid claims . + Provide timely follow up with residents on past due private pay balances.… more
- Highmark Health (Harrisburg, PA)
- …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share… more
- TEKsystems (St. Louis, MO)
- …experience in health care administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. Senior ... Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills… more
- Centene Corporation (Jacksonville, FL)
- …business review presentations to key stakeholders; including, but not limited to, Senior Leadership Team, Vendors and/or Government agencies. + Participates in and ... experience in a healthcare contact center or customer service environment dealing with claims , grievances pharmacy and appeals authorizations in one or more of the… more
- Sutter Health (Los Altos, CA)
- …provider organizations and occupational health provides as set by Medi-Cal, Medicare , Workers' Compensation, and other payors. + General understanding of the ... finance skills, with the ability to negotiate effectively with staff, senior management, vendors, media partnerships, external agencies and organizations. +… more
- Banner Health (AZ)
- …areas such as Billing, Coding, CDM Services Expected reimbursement. The Senior Cardiology and Interventional Radiology Certified Coder's main job responsibilities ... to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture… more
- MCG Health System (Augusta, GA)
- …Search Results or Job Cart. Position Description The Senior Billing Specialist -Facility possesses an in-depth knowledge of all Medicare and Medicaid payor ... Senior Billing Spec-Facility Work Location: Augusta University Medical...of ICD-10 codes, CPT codes and Third Party Insurance Claims . Typing, Proficient with various computer systems, and medical… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*Pre-Registration Representative Senior *to join our Financial Securing team. This full-time role will primarily work remote ... (SHIFT: Days). *Purpose of this position:*The pre-registration specialist confirms all patient demographic information is current and complete, verifies insurance… more
- CenterWell (Morehead City, NC)
- …+ Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's...to problem solve effectively. + Must possess knowledge of Medicare guidelines governing home health and hospice agencies. +… more
- CenterWell (Jacksonville, FL)
- …* Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... to ensure other billing requirements are satisfied to release claims timely. * Adhere to and participate in Agency's...to problem solve effectively. * Must possess knowledge of Medicare guidelines governing home health and hospice agencies. *… more