- CVS Health (Franklin, TN)
- …providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing activities comply with ... of benefits for each policy based on the patient's insurance plan, health conditions, the scope of coverage, and...necessary data elements to ensure accurate tracking, reporting, and processing of claims in all appropriate applications.… more
- Community Health Systems (Springdale, AR)
- …policies and standards. **Qualifications** + 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required ... **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and accurate… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …In this role, you will play a vital part in maintaining accurate records, processing claims , and ensuring timely communication with insurers and patients. This ... Description We are looking for an Accounts Receivable Specialist to join one of our healthcare clients...commitment to delivering excellent service. Responsibilities: * Review denied claims and apply current coding and billing practices to… more
- PenFed Credit Union (Guaynabo, PR)
- …in accordance with protection plan guidelines. + Acquire necessary documents and submit insurance claims directly with the provider. + Maintain organized storage ... Obras Publicas (DTOP), and other relevant parties to ensure proper title processing and compliance. The specialist also manages incoming and outgoing… more
- Elevance Health (Waukesha, WI)
- …and Experiences:** + Prior call center experience strongly preferred. + Medical claims processing experience preferred. + Proficiency with Microsoft Office ... **Recovery Specialist Associate** **Location:** _Hybrid1:_ This role requires associates...files. + Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email… more
- Travelers Insurance Company (West Bridgewater, MA)
- …professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries, ... and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site storage. Receives, sorts,… more
- AbbVie (North Chicago, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description Purpose The HRConnect Senior Benefits Specialist is a key part of AbbVie's Human Resource (HR) Operations ... group supporting the HRConnect delivery model. The HRConnect Senior Benefits Specialist is responsible for supporting US benefits and leave administration, including… more
- University of Southern California (Newport Beach, CA)
- …+ Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req ... The Clinical Authorization Specialist will take the lead in securing medical...+ Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD… more
- Addiction Recovery Care (Lexington, KY)
- …the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on ... Responsibilities + Conducts root cause analysis of all assigned insurance payer claims and denials to determine...rejection or denial codes as they pertain to claim processing and coding. + Communicates with Manager and staff… more