Billing & Denials Specialist: Claims & Compliance
OHI - Ocean Health Initiatives
Talentify is seeking a Billing Specialist to ensure timely submission of claims and follow-up on reimbursements. You will review documentation for payer alignment, monitor denials, and stay current with MCO billing requirements. The role emphasizes CQI involvement, collaboration with the Billing Manager, and adherence to billing KPIs. English/Spanish bilingual preference and MS Office proficiency are valued. #J-18808-Ljbffr OHI - Ocean Health Initiatives
- ...Initiatives in Brick, NJ is seeking a Billing Specialist to ensure timely and accurate submission of claims, follow-up on reimbursements, and effective denial management. Reporting to the... ...contributing to CQI initiatives to maintain compliance. You will need strong...Claims
- ...Position Summary Reporting to the Billing Manager, the Billing Specialist is responsible for ensuring... ...and accurate submission of claims, reimbursement follow-up, and denial management. This role ensures... ...requirements to maintain compliance and streamline operations. Billing...ClaimsWork at officeFlexible hours
- ...Meridian Health is seeking an Account Representative to manage billing and Revenue Cycle follow-up. The role ensures accurate... ...knowledge, with familiarity of ICD-10 and CPT coding to process claims and denials correctly. #J-18808-Ljbffr Hackensack Meridian Health Inc.Claims
- ...Jersey is seeking an experienced Behavioral Health Medical Billing Coding Specialist. The role requires 3+ years in behavioral health... ...Street, Toms River, NJ, with responsibilities spanning claim submission, denials follow-up, payer portal usage, and collaboration across...ClaimsFull timeWork at office
$60k
...Informed Care culture. Job Title: Billing Specialist Program: Finance Location: 5... ...Key Responsibilities Submit claims to NJMHAAP, commercial,... ...claims and resolve denials. Use payer portals for claim... ...knowledge of billing codes, compliance guidelines, and regulatory changes...ClaimsFull timeWork at officeLocal areaFlexible hours- ...payroll operations. Responsibilities include processing payroll, ensuring tax compliance, managing garnishments, conducting employment verifications, generating reports, and handling unemployment claims. This role demands attention to detail and knowledge of payroll...Claims
- Travelers is seeking a qualified claims professional in New Jersey to investigate, evaluate, reserve, and settle General Liability Bodily... ...the full lifecycle, maintain quality standards, and ensure compliance with state laws. Ideal candidates have at least one year of bodily...Claims
- ...President and leading the People Operations Specialist and People Operations Generalist, this... ...infrastructure, payroll and benefits, compliance, and employee relations, and serves as a... ...coordination, and manage workers' compensation claims Manage EPLI and workers' compensation...ClaimsHourly payFull timeTemporary workLocal area
$49.5k
...in insurance, authorization, billing, and revenue-cycle processes.... ...documentation, scheduling, or compliance concerns to program... ...authorization, registration, and claims-related issues. Assist with... ...to reduce preventable claim denials and administrative barriers to...ClaimsFull timeWork at office1 day per week- ...background checks, leaves of absence, and offer letters; supports compliance reporting and audits; and maintains assigned training and... ...to appropriate parties. Responds to unemployment insurance claims and submits requested information within established deadlines....Flexible hours
$60k - $100k
...The Payroll Coordinator will manage day to day payroll functions, ensuring accurate and timely processing while maintaining compliance and resolving discrepancies. This role goes beyond basic payroll, offering the opportunity to take on a more strategic position by analyzing...Part time$130k - $210k
...accidents, premises liability, defective products, and wrongful death claims, with a reputation for strategic trial readiness that shortens... ...There's no minimum billable hour requirement, but attorneys who bill in the 1,800–1,900 hour range are eligible for bonus...ClaimsImmediate start- ...and pick-ups. * Ensure all driving is conducted in accordance with safety protocols and immediately report any incidents or damage claims. * Maintain a professional appearance and provide excellent customer service. * Perform additional duties as assigned....ClaimsImmediate startShift work
- ...industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you... ...What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance...Claims
- ...commercial contract review, contract management & administration, compliance and onboarding of third parties, labor/HR, corporate and... ..., and managing discovery for workplace investigations or court claims. Ad Hoc Legal Support Support the Head of Legal with research...ClaimsContract workFor subcontractorWork at officeWorldwide
$45k - $55k
...contribute, develop, and make an impact. Position Summary The Billing Specialist is responsible for processing invoices, responding to... ...for billing preparation and execution, ensuring contractual compliance, accurate project setup and timely invoicing Contacts clients...Local area- ...Hackensack Meridian Health is seeking an Account Representative to handle billing and Revenue Cycle follow up to ensure maximum reimbursement. The role requires accurate posting of all payments and adjustments and strict adherence to EHR workflows. The ideal candidate...
$80k
...discovery requests and related matters. Conduct legal research, pre‑claim investigations, and preliminary case assessments for... ...Gather, organize, and research information to support legal and compliance initiatives. Insurance & Risk Management Assist with insurance...ClaimsContract workFor contractorsWork at officeLocal area$50k - $70k
...: $50,000-$70,000 annually Legal Assistant Job Duties: Handle subrogation, property damage, PIP, and insurance claims Investigate claims and evaluate liability and damages Communicate with insurance adjusters, attorneys, and experts Maintain...ClaimsWork at officeLocal areaRemote work- ...• Perform daily balancing tasks by reconciling records to bank activity and investigating discrepancies until resolved. • Handle claims payments, account closures, and end-of-day processing in line with established timelines and procedural standards. • Organize incoming...ClaimsLong term contractRemote work
- ...positive change. The Account Representative is responsible for billing and Revenue Cycle follow up. Ensures the accuracy and... ...knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. Licenses and Certifications Preferred: Certified Professional...Claims
- ...variety of responsibilities including payroll processing, tax compliance, management of garnishments, adherence to union regulations, employment... ...verification, report generation, and handling unemployment claims. Key Responsibilities Payroll Processing: Oversee and execute...ClaimsLocal area
$22.5 - $31 per hour
...direction of the pharmacist, exercises independent judgment to ensure compliance and execution of all business administrative activities and... ...Program. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows...Hourly payFull timeWork experience placementLocal areaFlexible hoursAfternoon shift- ...Job Description Job Description Overview The Lead Billing Specialist is responsible for overseeing daily billing operations, ensuring... ..., reconciliations, and account adjustments. Ensure compliance with municipal contracts, regulatory requirements, and internal...Contract workWork at office
- ...Insurance Verification & Authorizations: Coordinate and handle medical insurance verifications, pre-authorizations, and claims processing. Billing & Payment Collection: Oversee billing coordination, address patient billing inquiries, communicate with insurance...ClaimsWork at office
- ..., ensuing proper alignment and wash readiness Perform vehicle inspections prior to entry to identify visible damage and prevent claims Prep vehicles by removing trash, vacuuming interiors, and wiping surfaces to enhance tunnel performance Dry, polish, and detail...ClaimsLocal areaFlexible hoursShift workAfternoon shift
- ...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. QUALIFICATIONS:...ClaimsWork at officeWork from homeFlexible hours
$145.6k - $270.4k
...on access, reimbursement, coverage, billing, coding, and patient support... ...accounts to navigate reimbursement, claims, prior authorization, denial, appeal, and coverage-related challenges... ...with internal partners while ensuring compliance with all applicable policies,...ClaimsFull timeWork at officeLocal areaRemote workWork from homeHome officeVisa sponsorshipRelocation package$20 - $22 per hour
...financial records to shared files Review billing claims and denials; gather required information from... ...confidentiality and uphold HIPAA compliance at all times Sound judgment and discretion... ...Department of Labor. #J-18808-Ljbffr Foot and Ankle Specialists of the Mid-AtlanticClaimsHourly payWork at office- ...clerical services. Duties include ensuring accuracy and efficiency of operations, processing and monitoring incoming payments, paying bills accurately, and securing revenue by verifying and posting receipts.New graduates welcome!Tryko offers a very generous benefits...Full timeWork at office
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