- Molina Healthcare (Tampa, FL)
- …+ Impeccable attention to detail + AOR/IRE understanding highly preferred Provides support for claims activities including reviewing and resolving member and ... agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate… more
- Fairview Health Services (St. Paul, MN)
- …reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...that directly impact hospital and reimbursement. This position will support change management by tracking and communicating trends and… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...the department. Trains Insurance Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and… more
- Robert Half Accountemps (Houston, TX)
- Description Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office ... and great communication preferred. Responsibilities: * Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy… more
- Robert Half Accountemps (New York, NY)
- …diagnoses and procedures. + Assign accurate ICD-10 codes to support claim analysis and reporting. + Collaborate with claims professionals to clarify ... Description We are looking for a skilled Medical Coding Specialist to join our team in New York, New...role in ensuring the accuracy and efficiency of medical claims processing and coding. This is an excellent opportunity… more
- State of Colorado (Denver, CO)
- Provider Training Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5118979) Apply Provider Training Specialist Salary $58,872.00 ... for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… more
- Woodforest National Bank (The Woodlands, TX)
- …based on the outcome of the dispute claims . . Provide excellent support for calls regarding dispute questions and claim information from customers, branches, ... of one of the largest employee-owned banks in the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute… more
- NTT DATA North America (Monroeville, PA)
- …sourcing strategy. **NTT DATA Services currently seeks a Medical Biller/Adjustments Specialist to join our team in the Monroeville, PA.** **Medical ... Biller/Adjustments Specialist ** **Location: Monroeville, PA (Remote)** **Pay Rate: $19.49 per...you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare… more
- Aston Carter (Naperville, IL)
- Hiring a Provider Operations Specialist ! Job Description Join a dynamic team as a Provider Operations Specialist , where you will manage daily interactions with ... providers, focusing on emergency claims . You will oversee service request hubs, including Need...with other teams for Workflow/Queue Management and overflow Provider Support . + Develop and nurture relationships with key vendors,… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly ... for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement. The role also includes...with third party payor representatives in order to resolve claim issues. 5. Utilize CAC or other electronic coder… more