- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy...required . 1-3 years of experience in benefit verification, medical billing, health insurance, or specialty pharmacy. . Familiarity… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
- Avera (Sioux Falls, SD)
- …process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits ... having a high level of knowledge of the Avera Medical Group patient accounts responsibilities for the Avera ...and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... years of related experience and general knowledge of payor-specific or medical specialty reimbursement. + Knowledge of CPT and ICD-9/10 coding. \#IndeedSponsored… more
- Rush University Medical Center (Chicago, IL)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access **Work… more
- Rush University Medical Center (Chicago, IL)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access **Work… more
- Molina Healthcare (Fort Worth, TX)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Molina Healthcare (Salt Lake City, UT)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …and apply them to insurance claims . Research unpaid and denied insurance claims to ensure account resolution and claim payment . Verify accuracy and ... patients need to keep moving and keep enjoying their life. The Insurance Specialist - Spine is responsible for performing accounts receivable for spine patients with… more