- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- MultiPlan (Atlanta, GA)
- …healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by ... healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings… more
- Army National Guard (Columbus, OH)
- …and unit commanders with legal matters and judicial work. The Paralegal Specialist provides legal and administrative support in areas like family law, international ... witnesses, research court decisions and Army regulations, process legal claims and appeals, and prepare records of hearings, investigations, courts-martial,… more
- Option Care Health (Dublin, OH)
- …a diverse workforce. Job Description Summary:Hiring Range From $18+The Specialist , Patient Registration is responsible for facilitating new patient's transition ... partners feel Option Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to prepare patients for OCH… more
- AppleOne (Pittsburgh, PA)
- …about providing support and assistance to individuals navigating workers' compensation claims ? We're looking for a dedicated medical claims coordinator ... to gather information such as work status reports, appointment details, and specialist referrals- Manage multi-line phone calls, regarding specific cases in the… more
- MultiPlan (Atlanta, GA)
- …coding standards and regulations to claims billed. Research and review individual claims , claim trends or detailed itemized bills, operative notes and other ... bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most...provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and… more
- APN Consulting, Inc (TX)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... Title: Healthcare - Appeals Specialist IREMOTE6 monthsJob Description:* Will the position be...ensure that internal and/or regulatory timelines are met.* Research claims appeals and grievances using support systems to determine… more
- Cambia Health Solutions, Inc (Tacoma, WA)
- Appeals Specialist IRemote within WA, ID, OR, and UTPrimary Job Purpose:Responsible for all activities associated with requests for Provider Billing Disputes and ... providers, other insurance companies, and attorneys or others regarding benefits and claims . Does not make final clinical decisions but has access to licensed… more
- Credit Acceptance Corporation (Atlanta, GA)
- …call center environment. Calls are assigned to the Insurance Department to expedite the claim settlement process on vehicles that have a total loss, theft, repair or ... GAP claim filed against them.Protect Credit Acceptance's interest by ensuring...accounts to process all paperwork necessary to complete GAP claims for consumers that have purchased supplemental GAP coverage… more
- LHH Recruitment Solutions (Phoenix, AZ)
- Medical Billing Specialist - Follow up & Collections LHH Recruitment Solutions is searching for a full-time Medical Billing Specialist on a Direct Hire basis for ... Phoenix, AZ. Our client is seeking a Medical Billing Specialist to handle follow up and collections and obtain...follow up and collections and obtain additional information for claims processing. This position is located in Phoenix, AZ… more
- MultiPlan (Atlanta, GA)
- …Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing ... summarize trends, coding practices, and regulatory changes. Research and review individual claims , claim trends or detailed itemized bills, operative notes and… more
- Blanchard Valley Hospital (Findlay, OH)
- …of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support Condition 44 ... enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity Auditor,… more
- US Tech Solutions, Inc. (Monroeville, PA)
- Job Title: Billing Specialist I Location: Monroeville PA USA 15146 Duration: 6 months contract Shift Timing: Mon thru Fri 8-430pm Job Description: Billing ... Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with Omnicare pharmacy… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This position applies prior knowledge of denials… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... services as well as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all denials and ensure… more
- Rose International (Monroeville, PA)
- …Hiring Organization: Rose International Position Number: 462898 Job Title: Billing Specialist Job Location: Monroeville, PA, USA, 15146 Work Model: Onsite Employment ... Outlook and good typing skills. Position Summary * Billing Specialist I will be responsible for qualifying, preparing and...I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.… more
- AppleOne (Jacksonville, FL)
- We are seeking a detail-oriented and experienced Medical Billing Specialist to join our teamThe ideal candidate will be responsible for accurately and efficiently ... handling medical billing processes, including claim submission, payment posting, and accounts receivable managementThe Medical Billing Specialist will work… more
- MultiPlan (Atlanta, GA)
- …to the right of the star icon. The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties ... RESPONSIBILITIES: 1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail 4. Performing… more
- Creative Financial Staffing (Huntington, IN)
- …and timely billing for our healthcare services. Responsibilities of the Medical Billing Specialist : Prepare and submit claims to Medicare and Medicaid in ... Medical Billing Specialist Job Description of the Medical Billing ...rejections. Collaborate with the billing team to ensure all claims are processed efficiently. Stay up-to-date with Medicare and… more
- Creative Financial Staffing (Pittsburgh, PA)
- …records. Collaborate with insurance providers to process and coordinate insurance claims . Accounting Specialist ensures timely and accurate documentation of ... ACCOUNTING SPECIALIST ABOUT THE COMPANY: Our client, an industry...industry leader, is seeking a dedicated and detail-oriented Accounting Specialist to manage essential accounting functions, including completing the… more
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