- Commonwealth Care Alliance (Boston, MA)
- …certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + Experience ... 011250 CCA- Claims **_This position is available to remote employees...subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider engagement… 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
- Modernizing Medicine (Phoenix, AZ)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- MetLife (Holly Springs, NC)
- …A MONTH after training. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, ... utilizing resources timely, maintain data integrity through accurate benefit decision and payment * Accountable for accurate financial decisions on block of … more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... procedures, performs a variety of duties related to the payment posting function of the Management Services Organization (MSO)....satisfy the customer's perceived needs. **Duties and Responsibilities** + Payment prep and posting. + Sign out for … more