- Guidehouse (San Marcos, CA)
- …Diploma + One year relevant experience **What Would Be Nice To Have** **:** + Healthcare claims background + PC skills in a Windows environment are required. ... Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... truly means to be a part of the HCA Healthcare team. **Benefits** CarePartners, offers a total rewards package...may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...degree preferred + Three years or more experience in healthcare collections, billing or claim negotiations + Demonstrated success… more
- TEKsystems (Waco, TX)
- …to support a growing healthcare company in the Waco area! As a claims follow up specialist on our team you will be verifying insurance information, ... you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, denials or...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- Robert Half Accountemps (Glen Allen, VA)
- Description We are seeking a Medical Billing Specialist to join a healthcare organization in Glen Allen, Virginia. The role involves managing medical collections ... and billing, comprehending medical claims , and maintaining an understanding of the collections process....to medical billing and collections * Ensure compliance with healthcare industry regulations and standards in all tasks *… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** **The Default FHA Claims Specialist II will work under moderate supervision, be responsible for ... preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs all duties in accordance with the… more
- TEKsystems (Spencer, WI)
- Description: A Medical Billing & Claims Specialist is responsible for working and managing Accounts Receivable for our Clinic and Surgery Center and providing ... and procedures. Assist with ad-hoc projects when assigned. Skills: Medical Claims , healthcare industry, microsoft word, medical billing, insurance verification,… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment...and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal ... your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation of...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Robert Half Accountemps (Glen Allen, VA)
- Description We are offering a contract- permanent employment opportunity in the healthcare industry for a Medical Billing Specialist in Glen Allen, Virginia. ... collections and billing issues * Process and monitor medical claims accurately and in a timely manner * Maintain...years of experience in a similar role within the Healthcare or NHS industry. * Proficiency in Medical Billing,… more
- MetLife (Bloomfield, CT)
- …and Skills, Preferred: * Associate Degree or higher * 2 plus years of claims management experience preferably in Healthcare field * Proficient with Microsoft ... Value Proposition: Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes… more
- Modernizing Medicine (Boca Raton, FL)
- We are united in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc. 5000 Fastest-Growing ... US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping...career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced … more
- Pacific Medical Centers (Renton, 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...administration of managed care products **Preferred Qualifications:** + IDX healthcare software application + CHAMPUS, Medicare and/or Medicaid benefits/programs… more
- BrightSpring Health Services (Englewood, CO)
- …of patients nationwide through our growing network of branches and healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of ... pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims...Pharmacy + 1+ years pharmacy experience + Pharmacy or healthcare -related knowledge + Knowledge of pharmacy terminology including sig… more
- US Bank (St. Paul, MN)
- …you excel at-all from Day One. **Job Description** Responsible for claims and disputes intake, review, and/or disposition of potentially suspicious transactions, ... specialized areas of focus, including but not limited to case/ claims processing, claims , disputes and risk-based actions,...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- CVS Health (Monroeville, PA)
- …in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via ... + Perform analytical activities for the reimbursement/collections department managing healthcare accounts receivable. + Initiate refunds, offsets, and adjustments +… more
- Robert Half Accountemps (Cincinnati, OH)
- …healthcare client with an immediate need for a skilled full-time OR part-time Medical Claims Specialist . As a full-time OR part-time Medical Claims ... , you will be supporting the submittal of medical claims to both Government and Commercial insurance payers as...EOB - Explanation of Benefits to assist patients and healthcare providers * Experience in handling Claim Denials and… more
- CVS Health (Phoenix, AZ)
- …What you will do . Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers. . Enters ... documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely … more
- Randstad US (Duluth, GA)
- … support occupations + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist who is skilled ... hybrid medical claims auditor (6 weeks). + duluth , georgia...education: High School Responsibilities + Reviewing medical records + Claims auditing + Reviewing medical claims for… more