- Cedars-Sinai (CA)
- …Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing benefits package that includes ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Robert Half Accountemps (Pomona, CA)
- …billing denials, ensuring timely follow-up and resolution . * Prepare and submit medical appeals to insurance companies for denied claims . * Handle hospital ... Description We are looking for a skilled Medical Biller/Collections Specialist to join our...encourage you to apply. Responsibilities: * Process and submit medical claims to insurance providers with precision… more
- 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...(HCFA), AMA and Local Coverage Determinations (LCD's), or Local Medical Review Policies (LMRP's) to ensure compliance with coding… 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 ... resolve insurance denials. + Focus on denials and 120+ resolution of claims . + Communicate with providers...year of experience with the following: + Resolving outstanding medical insurance AR by researching unpaid claims … 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
- 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
- Elevance Health (Louisville, KY)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Title** : Financial Operations Recovery Specialist II ... is granted as required by law. The **Financial Operations Recovery Specialist II** is responsible for the discovery, validation, recovery, and adjustments… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Medicare Specialist with Parallon, you can be a part of an organization that is ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...our organization. We are looking for an enthusiastic Medicare Specialist to help us reach our goals. Unlock your… more
- Actalent (Westwood, MA)
- …and submit timely and accurate appeals to insurance companies. + Follow up on appealed claims to ensure resolution and payment. + Document all actions taken in ... to communicate effectively with insurance companies and understand the claims process. + Proficiency in medical billing...understand the claims process. + Proficiency in medical billing and healthcare systems. Skills & Qualifications +… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... Job Summary The Billing Specialist plays a critical part in maintaining the...orthopedic services. This role is responsible for follow-up and resolution to optimize reimbursement from insurance carriers and patients… more