- CareFirst (Baltimore, MD)
- …understanding of CPT-4, HCPCS, revenue and ICD coding, medical terminology, claims payment , contract negotiations and problem resolution. **Knowledge, Skills ... with company policies and procedures, and coordinating with the Payment Transformation team to transition fee-for-service arrangements to value-based care.… more
- Aston Carter (Orlando, FL)
- …billing discrepancies until payment is received. + Submit electronic and paper claims to payers in a timely manner. + Correct and resubmit rejected claims ... communicate co-pay responsibilities to clients. + Facilitate co-pay collection and process payment information securely. + Enter client data into the system promptly… more
- Henry Ford Health System (Detroit, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...adjustments are posted accurately and in accordance with contracted payment rates, third party billing requirements, and HFHS policies… more
- Cornerstone Caregiving (Waco, TX)
- AR Specialist for Waco, TX Finance & Accounting Full-Time Waco, TX Apply Now Apply Now Job Summary The Accounts Receivable Specialist is responsible for managing ... to collaborate with various internal and external stakeholders. The Accounts Receivable Specialist will also support the legal and financial aspects of collections,… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or ... ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration and insurance… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: SENIOR FACILITIES CONTRACT SPECIALIST Location: United States-Virginia-Virginia Beach Job Number: 2500008Y Navy Exchange Service Command (NEXCOM) offers ... Grade: NF05, Salary Code 5A. Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development, advertisement, award,… more
- UnityPoint Health (Des Moines, IA)
- …pay period: 1.0 + Department: Medical Economics + Shift: 40 + Job ID: 175035 Overview Payment Auditor - Fully remote Join Our Team as a Payment Auditor! Are you ... accuracy in financial processes? We're looking for a talented Payment Auditor to help us strengthen our revenue integrity...we provide. In this role, you'll dive into insurance claims to identify incorrect payments and uncover opportunities for… more
- DHS Headquarters (Philadelphia, PA)
- …The primary purpose of this position is to serve as a contract specialist responsible for all aspects of the contracting transactions from initiation of a ... contractor's progress, negotiating modification, issuing termination notices, reviewing contract claims , and conducting contract closeout. Ensure all actions have… more
- DHS Headquarters (Philadelphia, PA)
- …are within applicable laws and regulations. Provides guidance to lower-graded specialist , program offices, field offices and user functions regarding all aspects ... contractor's progress, negotiating modifications, issuing termination notices, reviewing contract claims , and conducting contract closeouts. Requirements Conditions of Employment… more
- OhioHealth (Columbus, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... patient insurance co-payments, collects patient outstanding balances, establishes patient payment plans, ensuring accuracy of information placed in information… more