- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... Virginia workers comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims … more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I/Government (Full-time) ... claims from government and third-party payers. The Claims Specialist is responsible for preparing and...responsible for appropriate follow up on all accounts pending payment from government and third-party payers. Essential Job Functions… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to Level I qualifications) * One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking to efficiently resolve moderately complex ... of the department including but not limited to claim payment , audits, and mail entry. Minimum Qualifications: NOTE: We...Two (2) years of experience in a Level II Claims Specialist role. * Ability to multi-task… more
- Commonwealth Care Alliance (Boston, MA)
- …(CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies + ... 011250 CCA- Claims Hiring for One Year Term **_This position...coding logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
- University of Washington (Seattle, WA)
- …Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is ... responsible for claims review, clearing claim edits, and timely and accurate...rejections, or forwarding the claim to a medical coding specialist for review and coding changes prior to submitting… more
- Molina Healthcare (Kearney, NE)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with… more
- Carrington (Augusta, ME)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... and problems including, but not limited to, claim denials/curtailments and claim payment offsets. + Moderate working knowledge of all Default Servicing processes up… more
- CDM Smith (Albuquerque, NM)
- …process. * Performs other duties as assigned. \#LI-LP2 **Job Title:** FEMA Claims Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary ... for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire....from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from… more