- Insight Global (Eagan, MN)
- …-Someone interested in understanding the 'Why' versus "this is what I do" attitude. -Background or experience in PBM, claims , benefits, billing , testing, etc. ... and quality testing of new and revised benefit plans, determining if claims are adjudicating properly, and take appropriate steps once testing is completed.… more
- Robert Half Accountemps (Miami, FL)
- …with vendor partners, suppliers, and internal teams. * Familiarity with billing , invoicing, and claims processing procedures. * Excellent communication ... partners and internal teams to resolve customer concerns effectively. * Process claims , invoices, and enrollment requests with accuracy and efficiency. * Ensure… more
- Insight Global (Manassas, VA)
- …* Billing and Payments: * Collect payments, process insurance claims , and provide patients with financial documentation. * Assist with explaining payment ... and assist patients with questions about their appointments, treatment plans, or billing . * Appointment Scheduling and Coordination: * Manage and coordinate the… more
- Trinity Health (Howell, MI)
- …Interviews patients and gathers information to assure accurate and timely claims submission. Interprets information collected to determine and create comprehensive ... visit-specific billing records. Determines need for and obtains authorization for...by service departments and physicians to assure accuracy for claims submission and adjudication of reimbursement. Verifies insurance eligibility… more
- AssistRx (Overland Park, KS)
- …coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding ... and billing and navigating complex reimbursement issues. This position also...access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays… more
- AssistRx (Phoenix, AZ)
- …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... and billing and navigating complex reimbursement issues. This position also...access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays… more
- Chenega Corporation (NM)
- …+ Experience in medical records department + Knowledge of medical terminology, healthcare billing or medical claims processing + General knowledge of Medicare, ... ' company, is looking for a fully remote **Clinical Quality Support Specialist ** to provide non-clinical support to the Clinical Quality Management Department.… more
- South Bend Empowerment Zone (South Bend, IN)
- …Job ID: 5360130 Job Description Position Title : Human Resource Benefits Specialist (Total Rewards) Alpha Split - (A-M) and (N-Z) (Non-Unit Position, Non-Exempt, ... the HR system and INPRS. + Initial contact for worker's compensation, filing claims and monitoring work status. 6. Assist in administration of retirement benefits… more
- UHS (Binghamton, NY)
- …OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital role, you will ... claim denials by analyzing denial patterns, investigating and appealing denied claims , and collaborating across departments including with physicians, providers, and… more
- CVS Health (Albany, NY)
- …each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more