- CVS Health (Hartford, CT)
- …3 days per week)** **Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have ... and retention by providing accurate and timely resolution in processing medical claims . You will be a...the training period, overtime may be required based on business needs. - Claim processing experience. -… more
- Trinity Health (Livonia, MI)
- …8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of ... Interfaces with THAH to resolve problems related to the processing of bills/ claims . Investigates client accounts and...scope of the job may change as necessitated by business demands. **Benefits:** + Day 1 Benefits - Health,… more
- BrightSpring Health Services (Gainesville, FL)
- …relations with staff and management + Inform operations of worker's compensation claims process. Assist as needed with claim processing . Keep supervisors ... Onsite Position-will be working out of our Gainesville office space. The HR Specialist is responsible for providing support to operations for various human resources… more
- AIG (Jeffersonville, IN)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... agreements, customer experience, and/or identify opportunities in system functionality. A Claims Assessment Specialist should be able to provide recommendations… more
- Molina Healthcare (Orem, UT)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH -...terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows… more
- Insight Global (Pleasanton, CA)
- …with Medicare regulations and supports the clinic's financial health through timely claims processing , payment posting, denial management, and collaboration with ... Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...and help foster an environment where continuous improvement in business processes and services is welcomed and recognized to… more
- Mass Markets (ID)
- …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Northern Light Health (Portland, ME)
- …ongoing education of hospital and medical personnel related to risk prevention and claims management. The Risk Management Specialist will participate in patient ... 8:00 AM to 4:30 PM Summary: The Risk Management Specialist works under the general supervision of the Director...development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will assist the Director in… more