- SERV Behavioral Health System (Hamilton, NJ)
- …life satisfaction through a wide range of services. JOB SUMMARY: The Accounts Receivable Specialist will follow-up on unpaid claims including denied and held ... claims , denial review and resolution, corrected claims , denial appeals, payment posting as requested, contractual write offs and other adjustments, secondary… more
- Sedgwick (Sacramento, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CareFirst (Baltimore, MD)
- …capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting ... groups during proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice Transformation Consultants,… more
- Robert Half Finance & Accounting (Willow Grove, PA)
- Description Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated ... and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims… more
- WestCare Foundation (Dandridge, TN)
- …Level High School Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing provider ... Claim Preparation & Submission: Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers. + Charge Entry:… more
- Aston Carter (High Ridge, MO)
- Benefits Specialist Job Description As a Benefits Specialist , you will be responsible for providing comprehensive benefits and leave administration, managing ... systems, supporting employees, and ensuring compliance. You will handle claims management, enrollment processes, and compliance reporting. A full understanding of… more
- Molina Healthcare (San Antonio, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Elevance Health (Atlanta, GA)
- **FEP Performance Specialist ** **Location** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... together we will drive the future of health care. The **FEP Performance Specialist ** is responsible for providing subject matter expertise for a variety of Federal… more
- BrightSpring Health Services (Centennial, CO)
- …Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation and identifies ... documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs quality assurance checks for all medical and PBM billing… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead seeks a Business Operations Specialist to work on an upcoming awarded contract in Patuxent River, MD. The Business Operations Specialist ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more