Medicare Claims & Reimbursement Specialist
QHR Health, LLC dba Ovation Healthcare
QHR Health, LLC dba Ovation Healthcare is seeking a Medicare Specialist responsible for managing billing and collection processes for Medicare patients. This role includes ensuring compliance with Medicare regulations and addressing inquiries and unpaid claims. Successful candidates will have in-depth knowledge of Medicare billing codes, strong communication skills, and the ability to analyze complex data regarding billing discrepancies. #J-18808-Ljbffr QHR Health, LLC dba Ovation Healthcare
- ...State Medicaid Managed Care, Medicare, Child Health Plus, Exchange... ...000 primary care providers, specialists and participating clinics.... ...Position Overview As a Claims Adjustment Specialist I, this... ...., correct coding, rates of reimbursement, authorizations, contracted...ReimbursementContract workShift work
- ...York employees serving in a permanent Civil Service title of Claims Specialist. To be considered for this position, PLEASE CLEARLY... ...claims, Law Division investigates and resolves claims for reimbursement of Special Education costs and attorneys' fees and costs where...ReimbursementPermanent employmentFull timeWork at office
- ...seeking a Warranty Administrator responsible for overseeing warranty claims and ensuring compliance with manufacturer guidelines. This role includes processing claims accurately and maximizing reimbursements while maintaining effective communication with customers and...Reimbursement
$125k - $160k
...Complex Claims Specialist Build a brilliant future with Hiscox. Put your claims skills to the test and join one of the top Professional... ...~ Financial Adoption Assistance and Medical Travel Reimbursement Programs ~ Annual reimbursement up to $600 for health club...ReimbursementTemporary workPrivate practiceWork at officeLocal area2 days per week- Medium is seeking a Revenue Specialist in New York, NY to investigate and analyze Motor Vehicle Accident... ..., along with an understanding of MVA claims. The position is vital for ensuring prompt and correct claims reimbursement, while adhering to confidentiality standards...Reimbursement
$140k - $170k
...Senior Complex Claims Specialist Build a brilliant future with Hiscox Bring your passion and enthusiasm to our team! We are a fun... ...service ~ Financial Adoption Assistance and Medical Travel Reimbursement Programs ~ Annual reimbursement up to $600 for health...ReimbursementTemporary workWork at office2 days per week$115k - $130k
...Complex Claims Specialist: General Liability Build a brilliant future with Hiscox Put your claims skills to the test and join one... ...service ~ Financial Adoption Assistance and Medical Travel Reimbursement Programs ~ Annual reimbursement up to $600 for health...ReimbursementTemporary workPrivate practiceWork at officeLocal area$110k - $125k
...from Moody's. Join Our Team You will be our US A&H Claims Specialist, reporting into the A&H Claims Manager. In this capacity, you... ...two years, pre- and post-tax contributions allowed ~ Gym reimbursement ~ Legal plan ~ Pet Insurance ~ Tuition reimbursement...ReimbursementTemporary workWork visaFlexible hours- ...York employees serving in a permanent Civil Service title of Claims Specialist. To be considered for this position, please clearly... ...against the City of New York, including special education reimbursement claims under the Individuals with Disabilities Education Act...ReimbursementPermanent employmentFull timeWork at office
$75k - $95k
...most. Job Summary Donegal Insurance Group has an opening for a Claim Representative on our Casualty Claims team handling Bodily... ...Including college partnership discounts and industry designation(s) reimbursements Additional benefits include company-paid basic life insurance;...ReimbursementPermanent employmentFull timeTemporary work$26.5 - $30 per hour
MedReview is seeking a Claims Reviewer to ensure accuracy in payment integrity solutions. The ideal candidate will have a High School... ...5 years of experience with medical claims adjudication and reimbursement processes. Responsibilities include reviewing claims data against...ReimbursementHourly pay$150k - $190k
Role Overview We are seeking a Senior Claims and Change Specialist to support claims analysis, entitlement evaluation, claims management, and... ...wellness stipend Company cell phone or cell phone plan reimbursement Free personalized meal planning and nutrition support with...ReimbursementContract workTemporary workWork at officeFlexible hours$55k - $60k
Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you’d... ...disability; health savings account; health care and dependent care reimbursement accounts; employee and dependent life insurance and...ReimbursementFull timeTemporary workPart timeWork experience placementLocal areaRemote work$150k - $190k
New York, New York, United States Position Title: Senior Claims and Change Specialist About the Position We are seeking a Senior Claims and... ...wellness stipend Company cell phone or cell phone plan reimbursement Free personalized meal planning and nutrition support with...ReimbursementFull timeContract workTemporary workWork at officeLocal areaFlexible hours$139.5k - $236.5k
...DetailsTime Type: Full timeWorker Type: EmployeeSenior Technical Claim Specialist (Financial Lines)Location: USA -New York, NY and Chicago,... ...counselling, financial and legal adviceTuition Reimbursement for professional certifications, and continuing educationEmployee...ReimbursementFull timePart timeWork at officeWork from home- ...healthcare technology company is seeking an Accounts Receivable Specialist - Medical Claims for a fully remote position in the U.S. This role requires ensuring accurate, compliant billing and timely reimbursement for medical services. The ideal candidate will have a high...ReimbursementRemote jobWork at office
$50k - $55k
Provider Claims Training Specialist - San Diego, CA - Remote Gainwell Technologies is seeking a Provider Claims Training Specialist (Regional... ...and educating providers on claim submission, denials, and reimbursement processes; Medi‑Cal or Medicaid experience preferred....ReimbursementRemote jobFull timeWork at officeWork from homeFlexible hoursNight shift- ...State Medicaid Managed Care, Medicare, Child Health Plus, Exchange... ...000 primary care providers, specialists and participating clinics.... ...providers. Position Overview The Claims Quality Analyst is... ...terminology and standard industry reimbursement methodologies required....ReimbursementContract workShift work
- ## Insurance and Claims Specialist IApplylocations: Menands, NYtime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date... ...and Claims Specialist I will be responsible for APIC reimbursement processing; pharmacy, primary care, home care and APIC payment...ReimbursementContract workPart timeInterim roleWork at officeLocal areaRemote workRelocationFlexible hours
- Sky Pediatric Dentistry in New York is seeking a Dental Insurance Analyst to manage claims adjudication and analyze outstanding receivables. The role involves identifying trends in payments and working collaboratively with departments to improve the revenue cycle processes...Reimbursement
$24 - $26.45 per hour
...for ensuring the accurate and timely processing of all assigned claims. This role includes promptly addressing daily correspondence... ...with our Revenue Optimization team to support efforts to ensure reimbursement is in line with payer contract agreements. Perform denial...ReimbursementHourly payContract workWork at officeRemote workHome officeNight shift- ...doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a... ...~ Tax-advantaged accounts (HSA, FSA) ~ Educational expense reimbursement ~ Paid parental leave Other benefits include:...ReimbursementFull timeLive outWork at officeLocal areaRemote workFlexible hours
$56.16k - $99.36k
...COB, Contact Center, G&A, etc.) regarding claim outcomes. Perform root cause... ...knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination... ...and systems, State, Federal and Medicare Regulations and Coordination of Benefits...ReimbursementWork experience placement- ...Claims Dispute Resolution Analyst Under the supervision of the Manager of Health Fund Operations, the Claims Dispute Resolution... ...process. This role involves analyzing claims, negotiating equitable reimbursement rates, and ensuring compliance with regulatory requirements,...ReimbursementWork at office
$120k - $150k
...Opportunity At Berkshire Hathaway Specialty Insurance our claims professionals are an integral part of our business. Every claim... ...you and your family) Flexible Spending Accounts Health Reimbursement Account Employee Assistance Program Retirement Savings 4...ReimbursementTemporary workWork at officeFlexible hours$80k - $110k
...Senior Claims Examiner Build a brilliant future with Hiscox. Bring your passion and enthusiasm to our team! We are a fun, innovative... ...service ~ Financial Adoption Assistance and Medical Travel Reimbursement Programs ~ Annual reimbursement up to $600 for health club...ReimbursementTemporary workWork at office2 days per week- ...Analyst to ensure the proper configuration of their systems for claims processing. This role requires 6+ years of experience in data... ...a healthcare or claims environment and focuses on provider reimbursement configurations, workflow analysis, and system performance management...Reimbursement
- ...responsible for all aspects of liability claims across multiple business classes. Field... ..., time and expense records, and submit reimbursement reports per client policy and industry... ...; arrange contractors’ estimates and specialists’ appointments. Escalate complex claims...ReimbursementFor contractorsWork at office
- The Meditech Claims Processor position is responsible for acting as a liaison for hospitals and clinics using TruBridge’s complete... ...inquiries by insurance companies. Manages denial and resolves reimbursement issues or billing obstacles in discussion with Billing Manager...ReimbursementWork at office
- ...health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on... ...Knowledge of medical terminology, ICD/CPT coding, per diem and DRG reimbursement and EDP testing procedures. Proficiency with MS Office...ReimbursementDaily paidContract workWork experience placement
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