- CVS Health (Jefferson City, MO)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
- CVS Health (Jefferson City, MO)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Kelly Services (St. Louis, MO)
- …Medical Billing Specialist in St. Louis, MO specializing in writing appeals and requesting medical records. The ideal candidate will possess strong analytical ... patient information, diagnosis codes, and procedure codes into billing systems. + ** Appeals Writing** : Craft detailed and articulate appeal letters for denied … more
- TEKsystems (St. Louis, MO)
- …Days Sales Outstanding (DSO), payer issues, and unit performance. + Process appeals by gathering necessary documentation, resubmitting claims , and following up ... are seeking a detail-oriented and proactive AR Follow Up Specialist to join our team on a hybrid basis,...revenue cycle management preferred. + Strong understanding of insurance claims processes, including denials, appeals , and credentialing.… more
- Cardinal Health (Jefferson City, MO)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more
- TEKsystems (St. Louis, MO)
- …with an emphasis on improving Days Sales Outstanding (DSO). + Manage the appeals process by collecting necessary documentation, resubmitting claims , and tracking ... Position Overview: Medical Collections Specialist As a Medical Collections Specialist ,...critical role in managing rejected, denied, and outstanding insurance claims . Your focus will be on ensuring accuracy throughout… more
- TEKsystems (St. Louis, MO)
- …goal to improve metrics such as DSO (Days Sales Outstanding). + Process appeals by gathering required documentation, resubmitting claims , and following up ... As a Medical Collections Specialist , you will manage tasks related to rejected,...manage tasks related to rejected, denied, and outstanding insurance claims , ensuring accuracy throughout the billing process. This includes… more