Claims Denials & Eligibility Specialist
North American Partners in Anesthesia
North American Partners in Anesthesia in Sunrise, FL is seeking a Rejections and Denials Specialist to manage denied eligibility claims across multiple payers and states, working in several queues and contacting payers by phone or online. The role requires 3+ years of eligibility/denials experience, Medicare/Medicaid knowledge, strong MS Word/Excel skills, and excellent communication with payers and patients. A high school diploma is required, with emphasis on HIPAA and confidentiality. #J-18808-Ljbffr North American Partners in Anesthesia
$19 - $22 per hour
Sunrise,FL - USAPosition RequirementsThe Rejections and Denials Specialist will be responsible to work the denied eligibility claims for all assigned payers and states. This will include working within multiple work queues, contact payers online or by phone, updating accounts...ClaimsRemote jobWork at office- Unified Women’s Healthcare in Florida is seeking a Revenue Cycle Specialist to resolve accounts receivable, denials, and payment variances, ensuring clear communication with practices and payers. The role requires 2+ years in medical billing and collections, familiarity...Claims
$37.04k
...No: 885942 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60064685 Pay Plan: Career Service Position Number: 6... ...waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation...ClaimsWork at officeLocal areaFlexible hours- POSITION SUMMARY The Revenue Cycle Specialist is responsible for the review, analysis, follow-up, and resolution of third-party claims reimbursements, ensuring timely billing, collection... .... Investigates and resolves claim denials, underpayments, and payment...ClaimsFull timeWork experience placementWork at officeShift work
$19.96 - $37.11 per hour
...Florida Postal Code 32714 Job Description Reviews and appeals denials across all service lines system-wide Researches account... ...clinical and financial information for appeals Escalates identified claim issues and trends to appropriate leadership or payer contacts Performs...ClaimsFull timeWork experience placementLocal areaShift work- ...Requisition No:883422 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST I - 60062941 Position Number:60062941 Salary: $1,392.96 bi-... ...for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation...ClaimsWork at officeLocal areaRemote workMonday to FridayFlexible hours
$16 - $19 per hour
...notes. Pharmacy background a good plus Eligibility verification/investigation experience Well... ...for pharmacy and medical third party claims for assigned cases. May communicate with... ...physician and insurance company by requesting denial information and facilitates obtaining...ClaimsWork at office- ...PRIMARY FUNCTION: Reimbursement Specialist is responsible for analyzing... ...manages all components of claims processing including: 1) coordination... ...processes to prevent future denials. ESSENTIAL FUNCTIONS OF THE... ...denials. Verifies insurance eligibility / PCP / patient benefits to...ClaimsWork at officeLocal area
$15k
...Recruitment Team. Position: Auto Specialist Location: Lake Mary, FL Job... ..., innovative leaders in claims administration since our founding... ...of settlement or denial of minor to moderate auto claims... ...modified at any time. In addition, eligible employees may be considered annually...ClaimsLive inWork at officeLocal areaImmediate startRemote workMonday to Friday1 day per week$18.65 - $19.9 per hour
...-F The Senior Patient Access Specialist is responsible for performing... ...for future services. Reviews eligibility responses in insurance verification... ...to assist with a clean claim rate including pre-registration... ..., billing, payments, and denials. Comprehensive knowledge of patient...ClaimsFull timeWork at officeLocal areaRemote workShift work- ...Orthopaedic Institute seeks a Revenue Support Cycle Specialist to cover billing, insurance follow-up, and claims processing remotely. The role involves reviewing... ...ICD-10 codes, ensuring timely filing, and resolving denials with accuracy in the practice management system....ClaimsRemote jobWork at officeMonday to Friday
$14 - $16 per hour
...rewarding career! Job Description • Review and analyze insurance claims with accounts receivable balances that have aged beyond 30 days... ...approvals in the designated drives. • Identify the trends in denials by running and reviewing monthly payment and denial reason reports...ClaimsPrivate practice- JOB SUMMARY: The Revenue Cycle Specialist is responsible for accurately assigning medical codes... ...guidelines, and processing insurance claims. This role analyzes medical records to... ...requests, and assists with appeals and denials related to eye care claims. The specialist...ClaimsWork at officeShift work
$26 - $27 per hour
...Revenue Recovery Specialist - Exact Billing Solutions (EBS) | Lauderdale Lakes, FL Salary: $... ...analyzing, and appealing outpatient‑based claim payment variances for behavioral healthcare... ..., audit and reimbursement, claims denial, and appeals preferred. Knowledge of or willingness...ClaimsHourly payFull timeWork at officeFlexible hours- ...Unified is a nationwide community of providers, operations specialists and thought leaders who look for the greatest... ...Revenue Cycle Specialist is responsible for resolving claim issues including A/R denials, payment variances, and any other unresolved issues that...ClaimsTemporary workWork at officeFlexible hours
- ...quality care to their clients. As an RCM Specialist II, you will serve as a trusted partner... ...rejected, and unpaid insurance and healthcare claims with a focus on accuracy and timely... ...ongoing communication. Identify trends, denials, and reimbursement challenges while...ClaimsWork at office
- ...Health Solutions is seeking an Accounts Resolution Specialist to ensure accurate billing and reimbursements... ...remote role supports patients and payers across eligible states and uses our billing platforms to resolve denials efficiently. You will follow up on daily accounts...Remote job
- ...is hiring for Healthcare Payment Posting Specialist for a role in Miramar, FL. Summary The... ...Posting ERN's and paper check payments/denials. Qualifications Minimum of one-year experience... ...Care, Third Party payors, PIP, filing claims by electronic method, etc. Knowledge of...Claims
$17 - $18.15 per hour
## Patient Access Associate Specialist - Full TimeApply: Jupiter, FL: Jupiter - Breast Center... ...for future services.* Reviews eligibility responses in insurance verification system... ...billing processes to assist with a clean claim rate.* Responsible for accurately screening...ClaimsFull timeWork at officeShift work$17 - $18.15 per hour
...are searching for the next Patient Access Specialist champion. This role is responsible for... ...implemented for future services. Reviews eligibility responses in insurance verification... ...billing processes to assist with a clean claim rate. Responsible for accurately screening...ClaimsReliefWork at officeLocal areaRemote workShift workDay shift$34.76k - $37.05k
...Requisition No:885244 Working Title: RECORDS SPECIALIST - 43000857 **OPEN COMPETITIVE... ...Chapter 295, Florida Statutes,candidates eligible for Veterans’ Preference will receive preference... ...educational requirements. Candidates claiming Veterans’ Preference must attach...ClaimsOdd jobWork at officeImmediate startMonday to Friday$15.75 per hour
...staff support duties. Duties will take place in the center and other locations on campus. This position allows eligible veterans and their spouses to claim Veterans’ Preference pursuant to Florida Statute 295. Certain service members may be eligible to receive waivers...ClaimsHourly payPart timeMonday to FridayWeekend work- ...and Families Working Title: LICENSING SPECIALIST - CHILD CARE - 60024281 1 Pay Plan: Career... ...295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference... ...educational requirements. Candidates claiming Veterans’ Preference must attach...ClaimsWork at officeLocal area
- ...Patient Access Specialist Join Our Team! Are you passionate about delivering exceptional... ...cards. Verify insurance coverage and eligibility. Secure authorization and referral... ...duties during downtime, including attaching claims to visits and working assigned work...ClaimsWork at office
- ...: Children and Families Working Title: ELIGIBILITY SUPERVISOR - SES - 60020052 JOB FAMILY:... ...OCCUPATION: COMMUNITY AND SOCIAL SERVICE SPECIALIST, ALL OTHER JOB CODE: 21-1099-03... ...credit, processing insurance policies or claims or providing customer service. OR have...ClaimsTemporary work
$36.09k
...Veterans Affairs Working Title: FOOD CONTROL SPECIALIST - 50000706 Pay Plan: Career Service... .... Please attach any credentials you claim (degrees, certifications, etc.) to your... ...Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference...ClaimsBi-weekly payTemporary workWeekend work$15.55 - $18.67 per hour
...applications, transcripts, and related documents for compliance with eligibility for admission. Employees in this job classification are... ...Veterans’ Preference Applicants eligible for Veterans’ Preference may claim preference pursuant to Florida Statute 295. Eligible...ClaimsHourly payPart timeWork at officeMonday to FridayWeekend work$37.58k
...Corrections Working Title: PAROLE/PROBATION SPECIALIST Pay Plan: Career Service Position... ...start working or volunteering. Employment Eligibility The Florida Department of Corrections (... ...educational requirements. Candidates claiming Veterans' Preference must attach supporting...ClaimsWork experience placementWork at officeRemote workTrial period- ## Patient Access Specialist - Full Time - DaysApplylocations: 1004 Buildingtime type: Full... ...using EMR systems, insurance verification, eligibility, and electronic billing.* Billing and... ...and tracks on a monthly basis.* Submit claims and works rejections for claims submission...ClaimsFull timeWork at officeFlexible hours
- Empath Health is seeking a detailed-oriented Reimbursement Specialist to join our Patient Accounting Team. In this role, the... ...transmission or mailing. Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection...ClaimsWork at officeLocal area
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