Medicaid Billing Specialist — Accurate Claims
Atlantic Region CBO
Atlantic Region CBO is seeking a Medicaid Billing Specialist in Richmond, Virginia. The role involves ensuring meticulous submission of claims to third-party payers. Candidates should have a high school diploma and 1-3 years of billing experience with strong Microsoft Office skills. A customer-focused attitude and ability to multi-task are essential. Benefits include competitive compensation, medical plans, 401(k) matching, career development opportunities, and generous paid time off. #J-18808-Ljbffr Atlantic Region CBO
- ...Atlantic Region CBO is seeking a dynamic and talented . The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and...ClaimsWork at office
- ...medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. To succeed in this role,... .... * Ensure the patient's medical information is accurate and up to date. * Prepare bills and invoices, and...ClaimsWork at office
$225k - $275k
...and ensuring the Rules and policies are accurately interpreted and developed. This role is... ...research experience. Experience working with a Medicaid payer preferred. Knowledge of healthcare... ...). Possess in depth knowledge of claims, claims adjudication, medical policy rules...ClaimsFull timeWork at officeImmediate startRemote work- ...for a dynamic, self-motivated medical billing specialist to fill out our in-house billing team.... ...posting, denial management, insurance claim appeals, patient collections, etc. This... ...to ensure that all claims are submitted accurately, timely, and payments are received and...ClaimsFull timeWork at officeFlexible hoursWeekend workDay shiftAfternoon shift
- ...customer service. PAR seeks a dynamic and enthusiastic two full-time AR Billing Specialist Senior to perform all aspects of the revenue cycle, and other tasks related to medical billing claims for the practice. Job Responsibilities Revenue Cycle Process....ClaimsFull timeWork at officeFlexible hours
$159.3k - $273.2k
...provider & member related, network, IT, claims, etc.) ensuring effective implementation... ...and financial audits, ensuring timely, accurate, and coordinated responses Partner with... ...years of experience working in Managed Medicaid 5+ years of experience leading operations...ClaimsRemote jobMinimum wageFull timeContract workWork experience placementLocal area- Pulmonary Associates of Richmond seeks a full-time AR Billing Specialist Senior in Richmond, VA. This role involves managing all aspects of the revenue cycle, applying payer policies, resolving claim denials, and daily analysis of accounts receivable. Required qualifications...ClaimsFull time
- ...Eventus WholeHealth is seeking a Medical Billing & Coding Specialist responsible for processing and submitting medical claims for reimbursement in a timely manner. Applicants should have a high school diploma, at least 10 years of billing experience, and a CPC certification...Claims
- ...Encounter Data Management Professional to ensure data integrity for claims errors. This professional will develop business processes to enhance the submission and reconciliation of encounters to Medicaid/Medicare. The role is remote, with occasional travel to Humana's...ClaimsRemote job
- ...for processing and managing insurance claims, verifying billing information, following up on unpaid... ...patients. Experience with Medicare, Medicaid, and managed care billing in a home health... ...payments, adjustments, and denials accurately into the billing system Maintain...ClaimsFull timePart timeWork at officeMonday to FridayFlexible hours
- ...finance? We’re looking for a skilled Medical Claims Collector to help manage and resolve... ...directly with insurance companies to ensure accurate and timely payments. Handle inquiries and... ...discrepancies regarding claims and billing. Maintain accurate records of claims status...Claims
$22.3 - $35.2 per hour
...accounts receivable team, ensuring accurate and timely processing of claims, including denials and the maximation... ...cash flow. Coordinate with billing team to ensure insurance claims are... ...of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care preferred ~ Strong...ClaimsHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours- ...Key Responsibilities Prepare, review, and submit accurate dental claims to insurance companies or government programs. Verify patient insurance... ...unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve...ClaimsImmediate startRemote work
- A leading public sector solutions firm in Virginia is seeking a TPA Claiming Lead to manage claims operations within educational sectors. The ideal candidate will possess extensive experience in claims evaluation, data management, and team leadership. They will oversee...ClaimsRemote work
- ...divh2Travel Claims Associate/h2pInsight Globals client is hiring Travel Claims Associates to support customers filing travel-related... ...support claim decisions follow internal workflows to ensure timely, accurate claim resolution meet productivity and quality standards while...ClaimsRemote work
$87.7k - $157.8k
...cross-market cross-functional actuarial support for all Centene Medicaid markets. Conduct analysis, pricing and risk assessment to... ...skills, and organizational talents. Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure...ClaimsFull timePart timeWork at officeRemote workWork from homeFlexible hours- ...scheduling, rescheduling, and cancellations. Verify insurance coverage, benefits, and eligibility to ensure accurate billing and authorization. Submit insurance claims and assist in tracking outstanding claims and predeterminations. Communicate with providers to...ClaimsWork at office
$25 - $30 per hour
...mid-level Reimbursement specialist to join our team. As a... ...gets reimbursed accurately and in a timely manner... ...operations of the insurance billing life cycle to... ...ensuring timely insurance claim submissions, payment posting... ...with Medicare, Medicaid and private insurer payers...ClaimsFull timeWork at officeRemote workMonday to Friday- ...Virginia. This role involves processing and managing insurance claims, verifying billing information, and assisting patients with billing questions... ...in home health care, and be familiar with Medicare and Medicaid procedures. Opportunities for full-time or part-time...ClaimsFull timePart time
$100k - $231.54k
...Director Of Medicaid Regulatory Affairs We're building a world of health around every individual — shaping a more connected, convenient... ...of health plan operations, including contracting, claims processing, encounter data processing, and Medicaid eligibility...ClaimsHourly payFull timeContract workTemporary workWork experience placementWork at officeShift work3 days per week- ...Senior Claims Examiner Come grow with James River Insurance! James River Insurance... ...to facilitate settlements Maintain accurate documentation in claim files Prepare... ...or certifications preferred Claims Specialist High school diploma required...ClaimsFull timeH1b
- ...responsible for all aspects of liability claims across multiple business classes. Field... ...police, healthcare, accountants, etc.) to accurately assess loss extent. Apply knowledge of... ...needed; arrange contractors’ estimates and specialists’ appointments. Escalate complex claims...ClaimsFor contractorsWork at office
- ...Investigator is responsible for conducting timely investigations into claims where indicators of potential fraud, misrepresentation, or... ...to develop a factual understanding of each case. Maintains accurate and timely documentation of investigative findings. Coordinates...ClaimsFlexible hours
$50k - $75k
...Claims Adjuster II (Workers’ Compensation) - AL, KY, TN, MS, FL | 100% Remote Opportunity... ...II is responsible for timely and accurate management of workers’ compensation claims... ...As “America’s small business insurance specialist”, we have the resources, a solid reputation...ClaimsRemote workWork from home- ...expenses and safeguard all of assets. Receive payroll/attendance/claim from all departments and process them to determine net pay of... ...establishing mutually beneficial relationships. Maintaining and reporting accurate and timely financial and operating information and provide...ClaimsLocal area
$69.87k - $116.44k
...complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with... ...annual benefit configuration activities such as Medicare, Medicaid contract updates, or Exchange plan changes. • Serve as a subject...ClaimsFull timeContract workTemporary workRemote workRelocationShift work$15k
...Adjuster – Remote after training Primary Purpose Handles losses and claims valued up to $15,000 for property and casualty insurers through... ...skills Ability to create and complete comprehensive, accurate and constructive written reports Ability to work in a team environment...ClaimsWork at officeLocal areaRemote work- ...delivering high-quality appraisals for auto and heavy equipment claims. Job Responsibilities: Conduct field inspections and... ...equipment, and specialty vehicles to assess damage. Prepare accurate, detailed estimates using industry-standard software (CCC One,...ClaimsFor contractorsFlexible hours
- ...Investigator is responsible for conducting timely investigations into claims where indicators of potential fraud, misrepresentation, or... ...to develop a factual understanding of each case Maintain accurate and timely documentation of investigative findings Coordinate with...ClaimsFlexible hours
- ...provide ongoing support. Assist clients in filing insurance claims and guide them through the claims process, acting as a liaison... ...authorities. Administrative Tasks: Maintain accurate and organized client records, policy documents, and other relevant...Claims
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