- Beth Israel Lahey Health (Burlington, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and...Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims , and the referral process. As well as functions...to the roles/responsibilities of the position and participation in resolution of the same. + Active demonstration of broad… more
- PeaceHealth (Vancouver, WA)
- … claims submission, account follow-up with insurance payors, and resolution of reimbursement issues for multi-facility, multi-specialty organization. **Details of ... **Description** **PeaceHealth is seeking a Billing/Follow-up Specialist - Commercial (Remote: OR & WA) for a Full Time, 1.00 FTE, Day position. Monday - Friday.**… more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... **Your Job** : We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business… more
- Cedars-Sinai (CA)
- …Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …for career advancement to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services...and enhance our services. DUTIES/RESPONSIBILITIES: + Manage and Identify Claims Portfolio: + Review and evaluate insurance claims… more
- AIG (Atlanta, GA)
- Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ... service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes… more
- Mindful Support Services (Goodyear, AZ)
- …succeed, both personally and professionally. About the role: The Insurance Follow-Up Specialist is responsible for reviewing rejected claims , posting insurance ... portals to resolve insurance denials. + Focus on denials and 120+ resolution of claims . + Communicate with providers about the status of outstanding insurance… more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Travelers Insurance Company (Baltimore, MD)
- …are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, ... latent injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general supervision, you will manage moderate to… more