- Citigroup (Miami, FL)
- The Telesales Specialist role is a Client Service and Sales support position responsible for servicing and supporting internal and/or external clients primarily ... telephone or email. + Provides exceptional support and issue resolution - all client issues will be owned end to...treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA… more
- Commonwealth Care Alliance (Boston, MA)
- …in Health Administration, Finance, or related field preferred. + Certified Professional Coder ( CPC ) - AAPC + Certified Claims Professional (CCP) + Other AHIMA ... 011250 CCA- Claims **_This position is available to remote employees...role is responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments,… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....the request based on business needs and requirements, provider resolution option based on financial ability and forecasting for… more
- Guthrie (Towanda, PA)
- …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… 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
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250...relevant experience + CPC Preferred + Training in computerized medical billing +… more
- Johns Hopkins University (Middle River, MD)
- … III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications ... payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy...and expertise using Epic Resolute for A/R functions and resolution of revenue cycle issues in an academic medicine… more
- 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...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… 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 ... within the Central Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals. 16. Completes projects… more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... Description :** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business… more
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