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$53.7k - $72.6k
...Become a part of our caring community The Claims Process and Policy Professional 1 work assignments are often straightforward and of... ...efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service...ClaimsFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$78.4k - $107.8k
...part of our caring community The Senior Process Improvement Professional analyzes, and... ...will partner across Enrollment, Clinical, Claims, Finance, and Technology teams to design,... ...Preferred Qualifications Experience with Medicare and/or Medicaid. Experience with...ClaimsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$78.4k - $107.8k
...part of our caring community The Senior Process Improvement Professional analyzes, and... ...with business stakeholders, IT, compliance, claims, enrollment, customer service, and... ...and adherence to CMS, state Medicaid, and Medicare requirements. Present findings, recommendations...ClaimsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Sun Auto Tire & Service is seeking a detail-oriented Claims Process Coordinator to support insurance administration and claims management across our national network. The role is fully remote and exempt, reporting to the Compliance Manager, and focuses on claims intake...ClaimsRemote work
Sun Auto Tire & Service
New York, NY1 day ago - ...submitting, and following up on insurance claims for Home Health, Hospice, and Palliative... ...documentation supports billed servicesBill Medicare, Medicaid, commercial insurance, and... ...coverage as neededDevelop and maintain clear process documentation for billing proceduresWhy...Claims
Sangre de Cristo Community Care
Pueblo, CO5 days ago - ...into a long-lasting and rewarding career! Job Description Claims Processing: investigate insurance claims; properly resolve by follow-up... ...payment. Update patient files for insurance information, Medicare status, and other changes as necessary or required....ClaimsPrivate practice
HealthCare Support
Doral, FL3 days ago - ...Insurance Claims Processor Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO's. Job Duties Monitor the progress of insurance claims from submission to payment. Identify and resolve...Claims
- ...Insurance Claims Follow-Up Specialist Perform follow-up activities on outstanding insurance medical claims for Medicare, Medicaid, Commercial and Specialty insurance/program payors. Analyze... ..., screen, and correct claim issues. Process appeals, write-offs, and determine if...ClaimsWork at office
UT Health San Antonio
San Antonio, TX5 days ago $19 per hour
...ensure accurate account balances. Review claims, monitor outstanding receivables, and... ..., ensuring timely resubmissions. Apply Medicare/CMS guidelines and commercial insurance payer requirements. Prepare and process monthly patient statements and respond to...ClaimsPermanent employmentFull timeMonday to FridayFavorite Healthcare Staffing
San Antonio, TX1 day ago- ...receives their equipment. Every authorization secured, every claim processed, and every reimbursement resolved helps ensure patients receive... ..., or prior authorizations preferred. Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly...ClaimsFull timeWork at officeMonday to FridayAfternoon shift
Blackburn'S Physicians Pharmacy
Tarentum, PA4 days ago - ...functions for third-party payers and ensures claims are completed accurately and timely.... ...as Commercial, Government, Medicaid, Medicare, RHC providers, or Motor Vehicle Accident... ...entries, charge corrections or transfers are processed per guidelines and systems.Follows up...ClaimsFull timeWork at office
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Goldendale, WA1 day ago - ...Extended Care Pharmacy, part of the Guardian family, in Phoenix, AZ, seeks a detail-oriented pharmacy billing specialist to process bills and insurance claims with accuracy and speed. You will support daily and month-end billing, interact with patients, caregivers, providers,...Claims
- ...accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing... ...as to the correct insurance and processes all claims accordingly. Researches claims for Medicaid, Medicare and other third party insurance. Contacts insurance...ClaimsContract workWork at officeFlexible hours
Office of the State Attorney
Daytona Beach, FL22 hours ago - ...Detail-oriented and proactive, the remote Hospice Billing Specialist will manage the billing process for hospice claims, ensuring accuracy and compliance with Medicare and other payor requirements while collaborating with clinical and operational teams. Key responsibilities...ClaimsRemote work
Virtual Vocations Inc
United States22 hours ago - ...seeking a Billing Specialist to ensure accurate submission of claims to private insurers, Medicare, Medicaid and self-pay patients. You will collaborate... ..., and patients to resolve paid and denied claims, process payments, and manage EOBs and statements. The role requires...Claims
White house Clinics
Richmond, KY4 days ago - ...making necessary corrections to insure timely claim submission.Monitors all claims in Emdeon... ...the member.Stays informed about changes in Medicare and Medicaid, Blue Cross/Blue Shield and other third party payors.Processes correspondence and Explanation of Benefits in...ClaimsWork at officeFlexible hours
Sheridan Memorial Hospital
Sheridan, WY5 days ago - ...and obtaining alternate health care resources, including Medicare, Medicaid, VA, Tribal, and other third-party programs.... ...Follows up on pending applications, enrollments, and claims to support timely processing. Assists in resolving eligibility, coverage, and reimbursement...Claims
Department of Health and Human Services
Mcnary, AZ2 days ago - Job TitleEssential Job Functions: Files Medicare, Medicaid, Worker's Compensation and private insurance claims for EMS, both electronically and on paper; contacts debtors... ..., arithmetic and vocabulary; knowledge of word processing and spreadsheet processing software.Skills/...ClaimsFull timeWork at officeLocal area
City of Beaumont
Beaumont, TX2 days ago - ...professional coding guidelines, centers for Medicare and Medicaid (CMS) guidelines, and... .... Meets deadlines to expedite the billing process and to facilitate data availability for providers to ensure the timeliness of claim submissions. Reviews outpatient medical records...ClaimsWork at office
Aya Healthcare
Fort Lauderdale, FL4 days ago - ...support the revenue cycle, focusing on Medicare Part B, Medicaid, and other payers. You... ...aging, follow up on unpaid or underpaid claims, and manage denials and appeals while ensuring... ...Cycle Team, and participate in month-end close processes and reporting. #J-18808-LjbffrClaims
BrightSpring Health Services
Louisville, KY1 day ago - ...categories, CPT, HCPS CMS 1500 FORM, HEDIS, MRA, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB and payments, denials and appeals, Billing, Collections and Appeals processes and Medicare and Medicare Advantage billing methodology and processes....Claims
Clinical Care Medical Centers
Miami, FL4 days ago - ...a part of a centralized Revenue Cycle team to process accurate code assignments for paper and /or electronic claims and required billing data elements prior to charges... ...is carries out in compliance with applicable Medicare, Medicaid and third-party payer guidelines....ClaimsFull timeWork at officeRemote work
- ...approaches in R&D and commercial business processes, our Data & Analytics team integrates,... ...with healthcare-related datasets, such as claims data (e.g., IQVIA, Komodo Health),... ...information, please visit the Centers for Medicare and Medicaid Services (CMS) website at SummaryLocation...ClaimsFull timeLocal area
GSK
Philadelphia, PA2 days ago - ...team seeks a PBS Billing Specialist to support government billing, claims processing, and denials management. You will work remotely within Texas, ensuring compliant and timely submission for Medicare, TRICARE, CHAMPVA, and other payers. Ideal candidates have an Associate...ClaimsRemote work
University of Texas MD Anderson Cancer Center
New York, NY1 day ago - ...in ensuring accurate and timely billing operations across Medicare, Medicaid, and commercial payers. The ideal candidate is detail... ..., and experienced in navigating complex insurance processes, including claims submission, payment posting, and denial resolution. This role...ClaimsWork at office
Insight Global
Dallas, TX5 days ago - ...hMetrix is a healthcare data analytics company that processes large volumes of claims data from insurers and state governments to support some of... ...resources for that — but you must speak the language of Medicare claims fluently enough to direct analytic work credibly...ClaimsFor contractorsWork at officeRemote workFlexible hours1 day per week
hMetrix
New York, NY1 day ago - ...Reviewer, Coder to perform automated and complex reviews of Medicare Fee-for-Service claims from a remote setting. The role focuses on ensuring... ...accuracy, assisting in dispute resolution, and collaborating with stakeholders to improve review processes. #J-18808-LjbffrClaimsPart timeRemote work
Virtual Vocations Inc
United States1 day ago - ...all hospital and/or professional insurance claims. The position requires advanced knowledge... ...accurate recommendations for system or process changes to mitigate denials. The Specialist... ...for Financial Assistance based on Medicare/Medicaid benefits exhausted and delayed lower...ClaimsFull timeContract workShift work
Bayhealth
Dover, DE1 day ago - ...business (commercial, health plan, Cigna, Medicare), developing concepts, creating &... ...including the Analyst toolPerforming analysis of claims utilization and volume, including margin,... ...to complete the online application process, please email ****@*****.***...ClaimsFull timeLocal areaRemote workWork from home
CIGNA
Tallahassee, FL3 days ago - ...position requires expertise in medical billing with a focus on Medicare and Medicaid claims. Responsibilities include preparing and submitting claims... ...knowledge of coding systems and healthcare reimbursement processes, along with relevant certifications. Flexibility for...ClaimsPart timeRemote work
Med-Care Providers
Las Vegas, NV3 days ago
