Claims Resolution & Follow-Up Specialist
Maine Tech Hub
Signature Performance is seeking a Follow Up Specialist in the United States to ensure timely reimbursement by analyzing account activity, resolving denied claims, and coordinating with payers and internal teams. You will review EOBs, contact insurers, and appeal underpayments while supporting documentation and compliance. The role requires at least 2 years in medical billing or revenue cycle, familiarity with EHRs (Epic, Meditech, Artiva), and strong communication and analytical skills. #J-18808-Ljbffr Maine Tech Hub
- ...Serve as the main point of contact for resolution of customer debits, deductions, proof of... ...responsibilities for credits, debits and denial of claims if warranted. Additionally, it includes... ...sound decision-making skills and following guidelines that are provided The...ClaimsTemporary workWork experience placementLocal areaWorldwideShift work
- ## Specialist - Loan Resolutions Forclosure/REOApplylocations: Post Oak Corporate Officetime type: Full timeposted on: Posted Todayjob requisition... ...system of record. Perform PMI delinquent account reporting and claim processing.**Minimum Qualifications:***(Education,...Claims
- Molina Healthcare in Kentucky is seeking a Claims Support Specialist to review and resolve member and provider complaints and communicate resolutions to members or authorized representatives in line with CMS standards. The role involves researching appeals and grievances...ClaimsContract work
- ...Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities... ...Eastern Time business hours, with strong emphasis on follow‑through, analytics, and process improvement in a fast‑...ClaimsRemote workMonday to Friday
- ...a Principal Labor Relations Specialist to join their team. In this role... ...to precedent Dispute Resolution and Disciplinary Matters Under... ...interview for qualified candidates, followed by a more in-depth interview(... ...accommodation (1) if they claim a disability is affecting the...ClaimsContract workWork at officeRemote work1 day per week
- ...currently hiring a Veterans Billed Specialist to join our Veterans... ...specialist maintains a daily log of follow-ups, prioritizes cases based... ...with confirmation of resolution, including zero-balance letters... ...billing information. Request claims and processing payment. Ensure...ClaimsFull timeContract workCurrently hiringRemote workHome officeMonday to Friday
- ...Position overview: The Coding Specialist I is responsible for... ...resolving all assigned front-end claims to ensure accurate and timely... ...all assigned services. Follows all HIPAA regulations and upholds... ...judgment in coding and claim resolution. Excellent written and...ClaimsHourly payWork at officeLocal area
$22 - $27 per hour
...detail-oriented Reimbursement Specialist to join our billing team. In... ...process, with a focus on resolving claim rejections, denials, and... ..., statement generation, and follow-up calls Identify and communicate... ...of claim activity and resolution Contribute to special projects...ClaimsWork at officeRemote workMonday to FridayWeekend work$23 per hour
...schedule! The Loss Mitigation Specialist will be responsible for... ...Loan Modifications, Partial Claims, Repayment Plans, Forbearances... ...assigned loans in pipeline to follow up on collection of signed trial... ...delinquency or imminent default resolution process, including any Loss...ClaimsHourly payFull timeTemporary work$23 - $27 per hour
...passionate about timely and effective follow-up on outstanding insurance claims to ensure accurate and prompt... ...reimbursement. In the role of Follow Up Specialist, you will be responsible for... ...necessary documentation for claims resolution. Update patient account notes in the...ClaimsFull timeTemporary workMonday to Friday$48.5k - $65.52k
...operations processing team as aSr. Specialist, Operations Services, where... ..., retention, and successful resolution of outstanding issues.... ...24-2086. Please include the following information in your email: The... ...individual(s) or entities claiming to be employees of Cotality....ClaimsLocal areaRemote workFlexible hours$5,000 per month
...JOB SUMMARY The Revenue Cycle Specialist is responsible for managing and resolving outstanding claims and ensuring all accounts are... ...of submission to ensure timely resolution. Prioritize and process high-... ...reduce financial risk. Conduct follow-ups with payers to resolve...ClaimsPrivate practiceWork at officeImmediate start- ...Appalachian Regional Healthcare (ARH) seeks a Clinic Billing and Follow‑up Specialist to manage essential billing and insurance follow‑up functions. The role requires understanding of insurance claim processing, EOBs, denials, and follow‑up with insurers to resolve claims...Claims
- ...exciting? We are seeking a Biller Specialist in Oklahoma City, OK!! ***... ...payments received for final resolution and application to the... ...that all levels of approval are followed per Policies and Procedures.... ...Follow up calls to verify that claims submitted were received and are...ClaimsFull timeWork at office
- Account Resolution Specialist - Insurance HMOs - Digitech - Remote United States Job Description... ...Specialist to manage and resolve insurance claims after submission to Medicare HMOs,... ...denied, or incorrectly paid claims and following through until payment is secured....ClaimsRemote jobWork from homeMonday to Friday
$20 - $27 per hour
...Position Summary The Bankruptcy Specialist plays an important role by... ...communicated, and bankruptcy claims packages are prepared within... ...pertinent actions taken, delays, follow-up actions, and phone... ...unprecedented circumstances; resolution requires investigation, analysis...ClaimsMinimum wageWork experience placementWork at officeLocal areaMonday to Friday$105.5k - $175.9k
...Integrated Dispensing (MID) Sr. Payer Specialist help practices optimize their... ..., customer service and follow-up skills. Key Responsibilities... ...plus Experience with pharmacy claims adjudication, claim rejections and associated resolutions a plus Effectively manage customer...ClaimsContract workWork at office$56.39k - $63k
...seeking a Medicaid Eligibility Specialist to expedite the process of... ...but is not limited to the following: Maintain daily communication... ...for recommendation or resolution. Coordinate and collect applicable... ...Medicaid Administrative Claiming (MAC) activities that are applicable...ClaimsTemporary workWork experience placementWork at officeFlexible hours3 days per week$50k
...access to therapy. The Benefits Specialist works in a dynamic and... ...assist inbound callers through resolution utilizing answers to frequently... ...PharmaCord Lynk, to complete claims processing and keep workflows... ...procedures Ensure all SOPs are followed with consistency Perform...ClaimsTemporary workWork at officeImmediate start$21.76 - $45.96 per hour
...is looking for a **Customs Specialist** who will play a critical role... ...but are not limited to, the following:* Review and validate... ...Investigate and resolve cargo damage claims, insurance matters,... ...expedient approach to problem resolution* High level of attention to...ClaimsHourly payTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours2 days per week3 days per week$80k - $100k
...The Opportunity The eCommerce Specialist supports the eCommerce Senior... ...and cross-functional issue resolution. This is a highly organized,... ...invoice and budget trackers, follow up on outstanding approvals and... ...offers and individuals falsely claiming to represent our Human...ClaimsTemporary workWork experience placementWork at officeWorldwide$63.1k - $79.5k
...proactively reporting hazards, following protocols, and suggesting... ...Warranty and Dealer Records Specialist** for Engines provides leadership... ...which includes processing claims, system maintenance, policy... ...timely and accurate resolution.* Serve as a key contact for...ClaimsPrice workWork experience placementLive inLocal areaRemote work2 days per week3 days per week- Under limited supervision the Insurance Follow-up Specialist reviews and manages the billing and... ...agency. They assist in filing insurance claims, determining correct reimbursements/... ...systems, internal system and direct toward resolution (Payment, Adjustment & self-pay)....ClaimsFull timeWork at officeRemote workHome officeMonday to FridayWeekend work
- ...brighterfuture with this Revenue Cycle Specialist position. As a member of our team, you have... ...Prepare and submit physician and clinic claims to third party insurance carriers... ...or requested by third party insurances. Follow up with third party insurance carriers on...ClaimsTemporary workWork at officeImmediate start
- ...with speed and precisionClaims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow... ...in a benefits package for all employees that includes the following: Health Insurance, a Retirement Plan, Disability benefits, and...ClaimsContract workFor contractors
- Humana Inc. is seeking a Claims Research & Resolution Representative 2 to manage claims operations involving customer contact, investigation, and... ...financial issues. This role supports inbound calls, case follow‑up, and documentation, with training from day one and a 8‑...ClaimsRemote job
- ...Position Summary The Revenue Cycle Specialist is responsible for supporting the organization... ...revenue cycle functions, including claims processing, payment posting, reimbursement... ...Monitor accounts receivable and proactively follow up with sponsors regarding outstanding...Claims
- ...Account Options Job Description - Revenue Specialist (262529) Job Description Revenue... ...customer billing discrepancies and overcharge claims. The Revenue Specialist will handle rate... ...accounting experience. Excellent conflict resolution skills. Strong verbal and written...ClaimsFull timeMonday to FridayShift workDay shift
- ...in Melbourne, FL to handle end-to-end review, processing, and resolution of fraud and merchant disputes across debit and credit card portfolios... ...inquiries, identify fraudulent activity, and ensure timely claim processing in line with Visa rules. The role requires 1-3 years...Claims
- ...the work done in the field. The Safety Specialist works to proactively improve safety performance... ...property damage incidents (cases and claims) are properly managed. Assist with and/... ..., wet, and noisy. The employee will follow safety regulations enforced at the job....ClaimsWork experience placementWork at officeLocal area
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