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- ...Accounting Technician/Medicare Claims Overpayment Processor Under general supervision, performs a variety of routine to moderately complex... ..., reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging...ClaimsFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaMonday to FridayShift work
- ...Senior Insurance Process Improvement Analyst Onsite (San Antonio, TX; Phoenix, AZ; Colorado Springs, CO; Tampa, FL; Chesapeake, VA... ...We are seeking a Senior Insurance Process Improvement Analyst Claims Optimization to join our Optimization team, focused on improving...Claims
- ...or 2:00 PM - 10:30 PM) Job Summary Processes and ensures the accuracy and timely... ...care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP'... ...Responsibilities Generate and submit claims to insurance providers. Verify the accuracy...ClaimsLocal areaHome officeAfternoon shift
Trilogy Healthcare Services
Louisville, KY21 hours ago $69.7k
...clinical finances related to state Medicaid/Medicare programs, including MassHealth and other... ...incumbent will assist the Billing and Claims Manager with effectively managing the... ...Medicaid programs. This position requires processing of claims and pre-authorizations on a...ClaimsFull timeFor contractorsWork at officeBoston Staffing
Boston, MA2 days ago- ...Medicare Insurance Biller We are currently seeking a dedicated Medicare Insurance Biller... ...Medicare and Medicare Advantage IP/OP claims, computing total hospital bills, and providing... ...understanding of Medicare billing processes and excellent communication skills, we encourage...ClaimsFull timeWork at office
- ...Claims Receipt Processor Ametros is changing the way individuals navigate healthcare... ...attorneys, brokers, medical providers, and Medicare to create a seamless experience for our... ...the expected turnaround time for processing receipts. # Performing other clerical...ClaimsHourly pay
- ...and maximize payment of insurance medical claims by contacting third-party payors and... ...escalation of denied claims. # Identify claims processing issues upstream for denial prevention.... ...the expertise of all payors, including Medicare, Medicaid, and commercial payors. #...ClaimsContract work
- ...knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial:... ...keystrokes in the electronic transmission of claims, including the correction of claims with... ...and initiates refund and adjustment process in accordance with internal controls. Answer...ClaimsRemote jobFull timeWork at office
- ...Insurance Claim Specialist- Claims Management Works under the supervision of the Assistant... ...'s primary job functions is to analyze, process, submit, and follow up on inpatient and... ...claim for payment (i.e., claim forms, Medicare Secondary Payer (MSP) Questionnaire, etc....ClaimsWork experience placement
$231.9k
..., high-quality services to Medicaid and Medicare members, as well as to individuals and families... ...including committee structure, processes, and membership. ~ Conduct regular rounds... ...and health care quality. ~ Reviews claims involving complex, controversial, or...ClaimsFull timePart timeWork at officeImmediate startRemote workFlexible hoursWeekend workCentene Corporation
Washington State21 hours agonew$80.6k - $115k
...A regional health services provider is seeking an Accounts Receivable Specialist to process claims effectively, ensuring maximum collections on patient accounts. Candidates should have at least 2 years of experience in a medical office and knowledge of coding systems....ClaimsFull timeWork at officeTerry Reilly Health Services
Nampa, ID4 days ago$17 - $18.5 per hour
...Title Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims. Manage open accounts receivable which requires rebilling... ...Homecare statements and assist in collection calls. Process check requests for customer and insurance company refunds...ClaimsMinimum wageLocal area- ...provider in Dallas is seeking a Long Term Care Medicare Billing Specialist to join their team.... ...involves the accurate submission of claims to ensure maximum reimbursement, as well... ...of Medicare and Texas Medicaid processes. A high school diploma is required and proficiency...ClaimsWork at office
Priority Management
Dallas, TX1 day ago $56.14 per hour
...center, mail order medications, Insurance Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient... ...service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing...ClaimsHourly payFull timeTemporary workWork at officeImmediate startMonday to FridayA-Line Staffing Solutions
Westminster, MD4 days ago- ...Accounts Representative - Medicare Biller Job Category: Clerical/Admin Requisition Number: ACCOU001868... ...Hours of Job Duties and Key Responsibilities Processes and follows up on all Medicare claims until proper reimbursement is received. Works denials...ClaimsFull timeLocal area
Joint Township District Memorial Hospital
Ohio3 days ago - ...The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies... .... This position will ensure accurate Medicare and contract payment billing rates...ClaimsContract workWork at office
Lutheran Services Carolinas
Salisbury, NC5 hours agonew - ...supervision, the Government Collector resolves unpaid Medicare accounts, submits adjusted claims as needed for overpayments and completes compliance projects... ...40 Work Shift Job Description Prepares and processes payments for vendor invoices and other financial...ClaimsHourly payFull timeWork experience placementRemote workShift work
Medical University of South Carolina
Charleston, SC2 days ago - ...services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow... ...foster an environment where continuous improvement in business processes and services is welcomed and recognized to build a high-...ClaimsWork at office
- ...researching and resolving outstanding or unbilled claims. Communicates information received from... ....) requested by insurance companies to process claims. Must maintain a system to... ...than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and...ClaimsFull timeTemporary workWork at officeLocal areaImmediate startShift work
$186.2k - $363.09k
...Summary Join our team as the Director of Medicare Medical Programs, where you will play a... .... Participate actively in the appeals process to maintain integrity and quality of care... ...thorough reviews of referrals and claims, recommending corrections where necessary...ClaimsWork experience placementWork at officeMolina Healthcare
Omaha, NE21 hours ago- ...thorough knowledge of the Uniform Bill, Medicare and Medicare Advantage billing, secondary... ...Responsibilities include: Monitoring and resolving claims holding on discharged not final billed (... ..., etc for additional information to process claims. Working assigned accounts as...ClaimsWork at office
- ...Insurance Billing Specialist submits hospital claims to multiple third?party payers including... ...but not limited to: Managed Care plans; Medicare and Medicaid; hospice and other... ...line departments and management to improve processes within the Revenue Cycle. DISCLAIMER:...ClaimsFull timeWork at officeShift workWeekend workDay shift
Singing River Hospital
Gautier, MS4 days ago - ...someone to start ASAP Key technologies: Medicare Medical Necessity Appeals and... ...and Grievances Area Nice to haves: Claims knowledge or experience. Know salesforce... ...Health Plan operations and business unit processes, workflows and system requirements, including...ClaimsFull timeWork at officeImmediate startRemote work
Spectraforce Technologies
Phoenix, AZ21 hours ago - ...and maintains the integrity of the appeals process, both internally and externally. •... ...improvement teams. • Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory... .... • Conducts retrospective reviews of claims and appeals and resolves grievances related...ClaimsWork at officeLocal areaRemote work
Molina Healthcare
United States3 days ago - ...coding, and other teams. This role primarily processes subpoenas and statutory attorney... ...probate accounts requiring Statements of Claim, and billing dispute accounts. Process... ...WC, commercial insurance, Medicaid, and Medicare. Apply account adjustments in accordance...ClaimsFull timeWork at officeWorldwide
$16.98 - $25.46 per hour
...professional with a minimum of 2 years of Medicare Durable Medical Equipment billing and... ...navigating the complexities of billing, claims, and compliance. Responsibilities:... ...will be on orchestrating the reimbursement process for durable medical equipment. This includes...ClaimsHourly payTemporary workWork experience placementRemote workFlexible hoursResMed
Racine, WI3 days ago$66k - $68k
...meticulously evaluate medical records and claims for initial appeals, assessing the... ...of services while ensuring adherence to Medicare coverage guidelines and regulations. You... ...cases. Basic knowledge of medical review processes such as Appeals and Utilization Review....ClaimsPermanent employmentFull timeContract workFor contractorsImmediate startRemote workWPS Health Solutions
Detroit, MI5 hours agonew- ...professional with a strong background in Medicare pricing to join our Government Markets team... ...estimates. Evaluate historical claims and utilization data to support the pricing... ...Actuaries (SOA). ~ Familiarity with CMS bid process and regulatory requirements. ~ Strong...ClaimsWork at officeRemote workMonday to Friday2 days per week3 days per week
Independence Blue Cross
Philadelphia, PA3 days ago - ...analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’... ...Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor... ...HIPAA, data privacy, and/or data security processes. Experience working with regulators...ClaimsPart timeWork at officeLocal areaRemote work
Marwood Group
New York, NY3 hours agonew - ...Business Process Operations Analyst Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Operations Analyst, where you will play a key role in driving process improvement and support business continuity and technology initiatives. The...ClaimsFull time
