Medical Claims Follow-Up & Appeals Specialist
360care
360care is seeking a Claims Specialist in Louisville, KY, to manage medical claims processing including follow-up, rebilling services, and eligibility verification. The ideal candidate will possess a high school diploma with relevant experience in a medical office setting, specifically with HMO/PPO, Medicare, and Medicaid systems. Strong communication and problem-solving skills are essential for this role, as you'll interact with patients and insurance payers, ensuring accurate billing and claims management. #J-18808-Ljbffr 360care
- ...Claims Follow Up Specialist This position is responsible for the timely follow up of technical or professional medical claims to insurance companies that have been denied, left pending or... ...and process request. Research and appeal denied claims. Responsible for rebilling...MedicalClaimsWork at office
$60.93 per hour
...The Disaster Program Delivery Specialist: • Collects, coordinates... ...regular meetings, tracking and following up with the applicants on FEMA... ...process. • Supports the claims process by reviewing and validating... ..., childbirth and related medical conditions, sexual orientation...MedicalClaimsFull timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours- Clinical Appeals Manager, Medical Plaza II page is loaded## Clinical Appeals Manager, Medical Plaza IIlocations... ...and oversee Facility clinical claim denials by developing strategies to... ...documentation skills to ensure timely follow-up and accurate record keeping.* Ability...MedicalClaimsShift workDay shift
$62.93k - $94.4k
...representatives, regulatory agencies, clinics, medical/testing facilities to ensure effective... ...of near misses, incidents and claims to make certain that Company interests are... ...communication skills Strong organizational, follow through and time management skills Ability...MedicalClaimsWork experience placementWork at officeLocal areaImmediate startFlexible hours$29.05 - $67.97 per hour
...review of documentation to ensure medical necessity and appropriate... ...the medical record and claim submitted support correct coding... ...retrospective, and concurrent review of appeals for denied prior... ...CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager...MedicalClaimsHourly payWork experience placementWork at office- Firstsource is seeking a Sr. Revenue Cycle Billing Specialist in Louisville, Kentucky. This role involves collecting on aging medical insurance claims, filing claims, researching account denials, and ensuring compliance with billing procedures. Candidates should have a...MedicalClaims
$29.05 - $67.97 per hour
...review of documentation to ensure medical necessity and appropriate... ...the medical record and claim submitted support correct coding... ...retrospective, and concurrent review of appeals for denied prior... ...CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager...MedicalClaimsHourly payWork experience placementWork at office- ...healthier®. More about our team The Claims Analyst is responsible for... ...role also supports staff follows financial processes, and collaborates... ..., authorizations, and appeals are completed accurately and... ...Benefits : Multiple levels of medical, dental and vision coverage...MedicalClaimsFull timeTemporary workPart timeRemote work
- ...As a Springstone Behavioral Health Claims Analyst, you will manage billing and... ...certifications, authorizations, and appeals are completed on time. Follow up on insurance claims to secure appropriate... .... 3-5 years of computerized medical billing experience, preferably in behavioral...MedicalClaimsRemote jobFull timeTemporary workPart time
$23 per hour
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Louisville... ...patients access life-saving medications. Supportive culture: We value... ...addressing and rectifying rejected claims and conducting necessary... ...prior authorization requests and appeals with insurance carriers....MedicalClaimsFull timeTemporary workLocal areaRemote workRelocation package- ...Global is hiring a Healthcare Enrollment Specialist to support a large, enterprise‐level... ...licensing database. They will regularly follow up with state licensing agencies, Medicare... ...operations, revenue cycle, and claims to troubleshoot enrollment‐related payment...Claims
$50k
...and adhere to critical medications. Backed by proven... ...authorizations / denial appeals, and assisting patients... ...case management will follow the guidelines set forth... ...activities, including claims status, payments, and... ...Authorization Certified Specialist), CHES (Certified...MedicalClaimsFull timeTemporary workWork at officeImmediate startRemote workWork from home- Job Title: Sr. Revenue Cycle Billing Specialist General Summary The goal of the Sr. Revenue... ...is to successfully collect on aging medical insurance claims, either in the office or at the... ...Research account denials and file written appeals, when necessary Evaluate the...MedicalClaimsWork at officeLocal area
$50k
...Valeris Commercialization Specialist Valeris is a fully... ...adhere to critical medications. Backed by proven industry... ...payer coverage or claim submission process... ...submit pre-determinations, appeals and/or peer to peer... ...Ensure all SOPs are followed with consistency Perform...MedicalClaimsFull timeTemporary workWork at officeLocal areaImmediate startHome office- ...keystrokes in the electronic transmission of claims, including the correction of claims with... ...of the physician billing system. Follows up on unpaid claims for both insurance and... ...mathematical tasks required. Knowledge of medical terminology, ICD-10 and CPT coding required...MedicalClaimsRemote jobFull timeWork at office
$50k
...access and adhere to critical medications. Backed by proven industry... ...prior authorizations / denial appeals, determining financial qualifications... ..., but are not limited to the following: Relationship... ...platform, Lynk, to complete claims processing and keep workflows...MedicalClaimsFull timeTemporary workWork at officeImmediate startHome office- ...Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Position... .... Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky...MedicalClaimsRemote job
- ...for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and... ...Preferred Experience ~1+ years of experience in a dental or medical setting ~1+ years of experience with insurance billing and...MedicalClaimsDaily paidWork at officeLocal area
- ...for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and... ...Preferred Experience ~2+ years of experience in a dental or medical setting ~2+ years of experience with insurance billing and...MedicalClaimsDaily paidWork at officeLocal area
- ...strategy. Analyze pharmacy claims, drug pricing, rebate models,... ...operations by: Managing pricing appeals, coordinating with Maxor... ...project manager with excellent follow-through and organizational discipline... ...a $850 individual annual medical deductible and $25 office...MedicalClaimsFull timeTemporary workWork at officeRemote workWork from home
$2,880 per week
...experience in Cardiovascular Invasive Specialist in last 3 years. Specialty Experience... ...Confirmations I confirm I have all the following experience: skills to scrub and monitor... ...with GE and Siemens C-arms and Omnicell medication dispensing. Flu Vaccine (Current...MedicalPermanent employmentContract workTemporary workLocal area- HIM CDI Specialist, Ambulatory Care Building, Remote, 8:00a-4:30p page is loaded## HIM CDI... ...position is responsible for reviewing patient medical records to facilitate modifications to... ...a review worksheet. + **(c)** Conduct follow-up reviews of patients every 2-3 days to...MedicalRemote workShift workDay shift
- ...Primary responsibilities include the following. Other duties may be assigned.... ...coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding... ...departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve...MedicalClaimsPermanent employmentFull timeWork at officeLocal area
- ...seeking a Springstone Behavioral Health Claims Analyst to manage billing and collections... ...role requires 3-5 years of computerized medical billing experience, ideally in behavioral... ..., analyzing discrepancies, and preparing appeals for denied claims. Comprehensive benefits...MedicalClaimsRemote job
$51k - $54k
...detail‑oriented Cable & Telecom Damage Specialist in the New Albany, IN area. In this... ...local handling office. Assist the Claims Recovery team with follow-up actions after damage site reviews... ...reimbursement for vehicle use Medical, dental, and vision coverage for employees...ClaimsTemporary workFor contractorsWork at officeLocal areaNight shift- ...integrity regarding customer and business information Ability to follow directions and seek assistance when necessary to resolve... ...range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company...MedicalFull timePart timeLocal areaFlexible hoursWeekend work
- ...for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and explanation... ...Preferred Experience 2+ years of experience in a dental or medical setting 2+ years of experience with insurance billing and...MedicalClaimsDaily paidWork at officeLocal area
- Associate Specialist Amplity seeks a highly motivated and successful Associate Specialist to... ...call activity, product orders, and any follow-through actions. Listen and respond appropriately... ...and communicate complex technical/medical terminology and maintain required...MedicalLocal areaHome office
- ...support patient access to high touch, complex medication therapies. This position is based in a... ...patient scheduling for initial and follow-up appointments. Triages patient clinical... ...prescription refills, delivery coordination, and claim processing on time. Minimum...MedicalClaimsFull timeWork experience placement
$78.48k
...are open to considering candidates in the following states: NH, ME, MA, RI, CT, NY, PA, NJ,... .... Job Title: Senior Proposal Specialist Group: NCG Employment Type:... ...related conditions, childbirth and related medical conditions, sexual orientation, gender identity...MedicalFull timeH1bRemote work
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