- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
- CareFirst (Baltimore, MD)
- …Level:** High School Diploma or GED. **Experience:** 2 years progressive claims /customer service/enrollment &/or billing auditing experience, preferably in ... **Resp & Qualifications** **PURPOSE:** The Specialist , Quality Assurance I is responsible for examining and evaluating the accuracy of transactions in accordance… more
- Option Care Health (Columbia, SC)
- …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and… more
- New York State Civil Service (Middle Island, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary ... Plan meetings are conducted and services are coordinated. * Follow up on billing discrepancies, prepare documents for audits and claims reviews.* Caseload may… more
- ManpowerGroup (Plano, TX)
- …specializing in medical services and patient care, is seeking a Verification of Benefits Specialist to join their team. As a Verification of Benefits Specialist , ... you will be part of the Medical Support Department supporting the Claims and Authorization Team. The ideal candidate will have strong organizational skills,… more
- Billings Clinic (Billings, MT)
- …insurance claims experience through patient accounts billing or claims adjudication Billings Clinic is Montana's largest health system serving Montana, ... here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including… more
- Commonwealth of Pennsylvania (PA)
- …the process of Individual Support Plan development in HCSIS; assisting providers with claims resolution or billing issues; and participating in the Office of ... County Intellectual Disabilities Program Specialist 1 (Local Government) - Cameron-Elk County MH/ID Print… more
- AssistRx (Orlando, FL)
- …that they need. A Day in the Life as a Bilingual Patient Access Specialist : This role works directly with healthcare providers & insurance plans/payers to gather ... provided for a specific pharmaceutical product. The Bilingual Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- Rush University Medical Center (Chicago, IL)
- …a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial ... on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or… more
- OhioHealth (Columbus, OH)
- **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good… more