Adjudicator, Provider Claims-on the phone
$15.58 - $31.97 per hourMolina Healthcare of Illinois
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. Essential Job Duties Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. Assists in reviews of state and federal complaints related to claims. Collaborates with other internal departments to determine appropriate resolution of claims issues. Researches claims tracers, adjustments, and resubmissions of claims. Adjudicates or readjudicates high volumes of claims in a timely manner. Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. Meets claims department quality and production standards. Supports claims department initiatives to improve overall claims function efficiency. Completes basic claims projects as assigned. Required Qualifications At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Research and data analysis skills. Organizational skills and attention to detail. Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. Customer service experience. Effective verbal and written communication skills. Microsoft Office suite and applicable software programs proficiency. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $15.58 - $31.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. #J-18808-Ljbffr Molina Healthcare
$150k - $300k
...Becoming an Administrative Law Judges, Adjudicators, and Hearing Officer Follow this step-by... ...Additionally, they authorize payment of valid claims and determine method of payment,... ...or internships with government agencies provides a firsthand look at how adjudicators apply...ClaimsApprenticeshipCasual workInternshipWork at officeRemote workAfternoon shift- ...required to be repaired per investor guidelines, and requesting funding for the damages. Insurance claims are filed with insurance adjusters via phone and email to provide necessary documentation for the purpose of settling claims in a timely manner. Funding and damage...TelephoneClaimsWork experience placement
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Gemba Automotive
Brooklyn, NY1 day ago - ...practice in Brooklyn. The practice is known for providing VIP-level service and exceptional patient... ...and eligibility Submit insurance claims and follow up on outstanding claims... ...Answer patient inquiries in person, over the phone, and by email Maintain accurate patient...TelephoneClaimsFull timeWork at office
Your Dental Recruiter
Brooklyn, NY5 days ago - ...accurate billing and collections of all claims submitted for payment to non-Medicare insurance... ...on overdue accounts for collections via phone calls, re-submissions and adjustments for... ...results. This position does not provide sponsorship. All applicants should have the...TelephoneClaimsFull time
Hearst Communications, Inc.
Brooklyn, NY5 days ago - ...for managing patient billing, insurance claims, and payment arrangements to ensure accurate... ...concerns or outstanding balances. Provide clear, compassionate financial guidance to... ...operations as needed, including answering phones, assisting with check-in/check-out, and sending...TelephoneClaims
- ...follow-up and solving challenging claims—but is tired of constant interruptions from phones, front desk duties, and walk-in... ...? Dental Office Support (DOS) provides remote insurance verification... ...attachments to support successful claim adjudication Assist in maintaining...TelephoneClaimsFull timeWork at officeImmediate startRemote workAfternoon shift
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Heartland Dental
Brooklyn, NY2 days ago - ...The Claims Coordinator supports clients, policyholders, account managers, executives, and... ...the same day the loss is reported. Answer phone calls professionally, take client and... ...client inquiries regarding claim status and provide appropriate updates. Follow Agency procedures...TelephoneClaimsContract workWork at officeImmediate start
Blue Ridge Risk Partners
Brooklyn, NY4 days ago - ...efficient and accurate processing of medical claims and billing functions. Responsibilities... ...statements Collaborate with healthcare providers to resolve billing discrepancies and ensure... ...administrative tasks, such as answering phone calls, responding to inquiries, and...TelephoneClaims
Westmont Living
Brooklyn, NY4 days ago - ...insurance verification, prior authorizations, claims submission, payment posting, denial... ...medical billing and insurance, the role also provides occasional front office support,... ...assistance, patient check-in/check-out, and phone coverage as needed. The ideal candidate...TelephoneClaimsPrivate practiceWork at office
$17.71 - $25.28 per hour
...research, teaching, and community service, striving to provide exceptional care. We believe that high-performing... ...parties to resolve billing issues and outstanding claims. Contact patients and insurance companies via phone calls, emails, or written correspondence to...TelephoneClaimsHourly payRemote workShift workyour Jared
Brooklyn, NY5 days ago$174.34k
...information. MISSION STATEMENT The Judicial Department works to provide equal access to justice, contribute to public safety, and... ...name change; Trials and hearings on motions pursuant to small claims statutory provisions and rules; Civil trials to court and hearings...ClaimsPermanent employmentFull timeTemporary workTrial periodColorado Judicial Branch
Brooklyn, NY1 day ago- ...hospitals, clinics and all other service providers.Completes all required written documentation... ....Provides on call coverage via cell phone between the hours of 6:00 am – 6:00 pm, Monday... ...conduct, the NYS and federal false claims act, whistleblower protection and mandatory...TelephoneClaimsMonday to FridayFlexible hours
Constructive Partnerships Unlimited
Corona, NY1 day ago - ...appropriate personnel. Greet members/vendors. Provides office wide assistance as requested.... ...Front Desk/Reception: Answer a multiple line phone system, screen, and manage calls by... ...copies to appropriate personnel. * Prepare claim boxes sent to Aetna’s NC office and Conduent...TelephoneClaimsWork at officeImmediate start
AFSPA
Brooklyn, NY4 days ago - ...the insurance companies to manage customers claim to insure the best customer experience. Maintains communication with customers providing updates on repair process. Coordinates... ...clear, concise information in writing, via phone and in-person. Familiar with estimating systems...TelephoneClaimsLocal area
Classic Collision Corporate Services LLC
Brooklyn, NY1 day ago $23 - $27 per hour
...-up on outstanding insurance claims to ensure accurate and prompt... ...Contact insurance companies via phone, web portals, or written... ...healthcare claim submission and adjudication processes. Experience working... ...agencies, payers, and providers. At Signature, our mission is...TelephoneClaimsFull timeTemporary workMonday to FridaySignature Performance
Brooklyn, NY3 days ago- ...the day-to-day operations of our agency by providing support to our agents while also... .... Key Responsibilities Answer incoming phone calls and greet clients in a friendly and... ...Communicate with insurance carriers, underwriters, claims representatives, mortgage companies,...TelephoneClaimsWork at officeLocal area
$5,000 - $10,000 per month
...to leave a positive impression with the customer Provide concierge support for all owner inquiries, whether phone or in person, to assure the customer does not get... ...as necessary Oversee administration of warranty claims as well as training and supervising of service department...TelephoneClaimsLocal areaImmediate startMossbroscjdrriverside
Brooklyn, NY15 hours ago- ...Health offers skilled advanced practice providers an opportunity for career control, flexibility... ...verification as needed to ensure claims are billed and paid in a timely manner. Maintain... ...directly with insurance carriers via phone, payer portals, and written correspondence...TelephoneClaimsFull time
APS Health
Brooklyn, NY5 days ago - ...is seeking an Evaluation & Management Medical Coder to provide coding and coding auditing services to providers. The... ...S. The role emphasizes provider education outreach by phone/email and auditing outpatient claims to ensure accurate coding. The ideal candidate has CPC...TelephoneClaimsRemote job
$130k
...to leave a positive impression with the customer. Provide concierge support for all owner inquiries, whether phone or in person, to assure the customer does not get... ...as necessary. Oversee administration of warranty claims as well as training and supervising of service...TelephoneClaimsLocal areaMonday to FridayLes Stanford Cadillac
Brooklyn, NY2 days ago- ...processing and entry, delivery status, customer claims, purchase orders, and other responsibilities... ...through various channels, including phone, email, and chat. Work proactively to resolve customer issues and provide timely solutions. Coordinate communication with...TelephoneClaimsShift work
Dal-Tile Distribution, Inc.
Brooklyn, NY1 day ago $16.88 - $23.64 per hour
...compliant, and timely submission of insurance claims to government and commercial payers. This... ...by communicating with payers through phone and secure portals, participating in... ...word—caring. Here, we not only strive to provide the best possible care to our patients, but...TelephoneClaimsHourly payFull timeShift work$20 - $24 per hour
...traditional four-wall healthcare system by providing high quality, highly affordable care to... ...Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification... ...payers to verify claim status via phone or web and follow up on unpaid claims...TelephoneClaimsHourly payWeekly payFull timeRemote work- ...reviews medical information for accurate claims, collaborates with coders, and addresses... ...coding-related denials needing correction. Provide appropriate third-party account status... ...collection actions including contacting by phone, correcting and resubmitting claims to third...TelephoneClaimsFor subcontractorWork at office
Great Plains Tribal Health
Brooklyn, NY5 days ago $41.13k - $67.87k
...NON-EMERGENCY DISPATCH PHONE NUMBER (***) ***-**** This website contains public information and is provided as a service by the Isle of Wight County Sheriff's Officeto its citizens... ...back to shelter and holds them until owners claim, animal is adopted, or animal must be...TelephoneClaimsWork at officeIsleofwightsheriffsoffice
Brooklyn, NY2 days ago- ...talented individuals from around the world, providing meaningful remote career opportunities... ...will manage the complete billing cycle: claim submission, payment posting, denial management... ..., claims, and account balances via phone and email Document all billing-related communications...TelephoneClaimsFull timeWork at officeRemote workHome office
Rockstar
Brooklyn, NY1 day ago - ...headquarters. You will assist staff and members via phone and multiple digital channels. As a... ...such as Loan Adjustments, Total Loss Claims, Dealer Drafting, and Payoff Requests.... ...with problem solving, troubleshooting, and providing support in any area of the department as...TelephoneClaimsFull time
Texell Home Loans
Brooklyn, NY15 hours ago - ...reviewing and processing appropriate insurance claims for Inpatient and Outpatient accounts.... ...Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare... ...for any open accounts via websites or phone calls Runs necessary reports for batches...TelephoneClaimsHourly payTemporary workWork experience placement
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