- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to blue. Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, payment ... prioritizing development needs and requirements + Participate in professional reimbursement payment integrity activities that include developing new payment … more
- Advocates (Framingham, MA)
- **Overview** **Starting Rate: $22/hour** The Data Entry Payment specialist assists with payment intake and post payments reconciliation processes. They ... religion, ability, culture, and experience._ Apply Now! (https://careers-advocatesinc.icims.com/jobs/12471/data-entry- payment -%26-denial- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336180790) Broadcast via Social Network… more
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and ... minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to...with outstanding balances; leads meetings with payors to resolve payment and denial issues. * Writes and submits appeals… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Summary: Under the direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely ... and posting of all incoming payments and rejections of payment from insurance companies, patients, and third party payers...adjustments as necessary to ensure proper filing of supplemental claims to insurance companies. The staff in this position… more
- CDPHP (Latham, NY)
- …diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment /denial utilizing CPT-4, ICD 10 and HCPCS ... these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding … more
- AIG (Jersey City, NJ)
- …of Claim management and initiatives. + Be proactive in adjusting Trade Credit Claims appropriately to ensure proper reserve and payment posting within authority ... guidelines. What you will need to succeed + Good specialist knowledge in trade credit insurance ( claims ...Good specialist knowledge in trade credit insurance ( claims and/or underwriting), credit risk management and/or law. Strong… more
- BCA Financial Services, Inc. (Orlando, FL)
- …insurance claims , insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist , revenue cycle representative Powered ... a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday...insurance companies to determine the cause of denial or non- payment of a claim. + Initiate appropriate action required… more
- Johns Hopkins University (Middle River, MD)
- …billing applications. Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...coordination of benefits eligibility and any other issue causing non- payment of claims . + Contacts the payors… more
- Commonwealth of Pennsylvania (PA)
- …such as police reports, tax records, employment records, medical records, etc. Process claims for payment by calculating loss of earnings, loss of support, ... Crime Victim Compensation Specialist (Criminal Justice System Specialist 1)... claims for accuracy and completeness AND processing claims for payment . + B. I have… more
- Access Dubuque (Dubuque, IA)
- …to completion. + Informs claimants and client of documentation required to process claims , required timeframes, payment information and claims status. + ... Advocacy Coordination Team Specialist **Sedgwick** 1 Positions ID: R67996 Posted On...including but not limited to FMLA, Accommodations, and disability claims ; and to execute technical and jurisdictional requirements for… more