Current jobs related to Medical Claims Specialist - Phoenix - Desert Ridge Ambulatory SC (11103)
-
Claims Assessment Specialist
4 weeks ago
Phoenix, Arizona, United States Sedgwick Claims Management Services Full timePosition Overview:As a Claims Assessment Specialist, you will be responsible for evaluating complex Workers Compensation claims on behalf of our esteemed clients. Your expertise will play a crucial role in determining the appropriate benefits owed to claimants.Key Responsibilities:- Conduct thorough analysis of Workers Compensation claims to ensure accurate...
-
Medical Claims Specialist
3 weeks ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing:...
-
Medical Claims Specialist
3 weeks ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing: Accurately and timely...
-
Medical Claims Specialist
4 weeks ago
Phoenix, Arizona, United States LHH Recruitment Solutions Full timePosition Title: Medical Billing SpecialistCompany: LHH Recruitment SolutionsOverview: We are seeking a dedicated Medical Billing Specialist to join our team. This role involves managing follow-up and collections, as well as gathering essential information for efficient claims processing.Location: This position is based in Phoenix, AZ and requires full-time...
-
Medical Claims Support Specialist
4 weeks ago
Phoenix, Arizona, United States IQVIA Full timeMedical Claims Support SpecialistContract Remote Position - Open to Remote Work in the USAs a leading global provider of commercial solutions, IQVIA possesses the expertise required to facilitate the delivery of healthcare products and services on both national and international levels. Our dedicated teams assist biopharma, medical device, and diagnostic...
-
Claims Specialist
1 day ago
Phoenix, Arizona, United States CorVel Enterprise Comp, Inc. Full timeJob Title: Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for managing workers' compensation claims within delegated authority to achieve the best possible outcome.Key Responsibilities:Receive and process claims, confirming policy coverage and...
-
Medical Claims Specialist
7 days ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a key member of our revenue cycle team, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesAccurate...
-
Medical Claims Processor
1 day ago
Phoenix, Arizona, United States LHH Recruitment Solutions Full timeJob Title: Medical Collections SpecialistJoin our team as a Medical Collections Specialist and take on a challenging role that requires attention to detail, strong analytical skills, and excellent communication abilities.About the Role:We are seeking a highly motivated and organized individual to investigate and enter claims in our payment system. As a...
-
Medical Claims Processing Support Specialist
4 weeks ago
Phoenix, Arizona, United States IQVIA Full timePosition Overview:As a Medical Claims Processing Support Specialist, you will play a crucial role in assisting patients and healthcare providers by managing medical claims efficiently. This position is designed for individuals who are detail-oriented and possess a strong understanding of medical billing processes.Key Responsibilities:1. **Claims...
-
PIP Claims Specialist
4 weeks ago
Phoenix, Arizona, United States Sedgwick Full timePIP Claims SpecialistSedgwick, a leading provider of risk management and business solutions, is looking for a PIP Claims Specialist to enhance their team. This position focuses on the thorough investigation, negotiation, and resolution of personal injury protection (PIP) and medical payments (Med Pay) claims. The ideal candidate will possess extensive...
-
Claims Specialist
4 weeks ago
Phoenix, Arizona, United States RTA US Full timeJob DescriptionRTA US is currently looking for a Claims Specialist to assist in managing claims processes effectively. This role offers a fantastic opportunity to collaborate with a vibrant team and acquire significant experience in the Insurance Sector. There is potential for extension or conversion for the right candidate.Position: Claims...
-
Pharmacy Claims Specialist
7 days ago
Phoenix, Arizona, United States Onco360 Full timePharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ. This is a full-time position with a hybrid work style, requiring a strong understanding of pharmacy claims and benefits verification.Key Responsibilities:Adjudicate pharmacy claims, review claim responses...
-
Claims Specialist
2 months ago
Phoenix, United States Russell Tobin Full timePride Global/Russell Tobin is currently seeking Claims Specialist to support our client. This is an excellent opportunity to work with a dynamic team and gain valuable experience in the Consumer Industry. Potential to extend or convert for the right candidate. Apply today for consideration!Position: Claims SpecialistLocation: Phoenix, AZ 85004Duration: 6+...
-
Medical Claims Specialist
3 weeks ago
Phoenix, Arizona, United States MBI Acquisition Corp Full timeJob DescriptionCompany OverviewMBI Acquisition Corp is a leading provider of occupational healthcare services, with a strong commitment to delivering timely, compassionate care to individuals injured at work.Job SummaryWe are seeking an experienced Billing and Collections Expert to join our team. The successful candidate will be responsible for providing...
-
Claims Processing Specialist
4 weeks ago
Phoenix, Arizona, United States BCForward Full timeJob OverviewBCforward is seeking a dedicated Claims Processing Specialist to join our team. This role is essential for managing complex claims within our organization.Key ResponsibilitiesThe Claims Processing Specialist will be responsible for:Effective Communication: Clearly and professionally conveying intricate information to stakeholders to ascertain...
-
Pharmacy Claims Specialist
1 day ago
Phoenix, Arizona, United States Onco360 Full timePharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ. This is a full-time position, Monday to Friday, 8:30 am to 5 pm Arizona time. The ideal candidate will be located within driving distance to our pharmacy and have a hybrid work style.About...
-
Claims Adjuster-1
2 weeks ago
Phoenix, Arizona, United States CopperPoint Insurance Companies Full time{"title": "Claims Adjuster-1 - Workers Comp Claims Specialist", "content": "Job SummaryCopperPoint Insurance Companies is seeking a skilled Claims Adjuster-1 - Workers Comp Claims Specialist to join our team. As a key member of our claims team, you will be responsible for analyzing and investigating medical-only workers' compensation claims to determine...
-
Integrated Absence Claims Specialist
4 months ago
Phoenix, United States Lincoln National Corporation Full timeWe are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated Absence Claims Specialist, you will manage a workload of Short-Term Disability claims and their associa Claims Specialist, Claims, Specialist, Case Manager, Customer Service, Healthcare
-
Auto Claims Specialist
1 month ago
Phoenix, United States Chubb Full timeJob Description The Commercial Auto Claims Specialist is responsible for handling and managing commercial auto claims. They will analyze first reports, contact insured/claimants promptly, and evaluate contract language to identify coverage issues. The specialist will develop and maintain accurate and timely investigation and loss analysis, establish...
-
Insurance Claims Specialist
2 weeks ago
Phoenix, Arizona, United States American Vision Partners Full timeAbout the RoleAt American Vision Partners, we are seeking a highly skilled Insurance AR Specialist to join our team. As an Insurance AR Specialist, you will play a critical role in collecting payments for assigned insurance accounts and performing follow-up duties in accordance with established federal and state regulations.Key ResponsibilitiesInsurance...
Medical Claims Specialist
3 months ago
DESCRIPTION
We are looking for a motivated performer to join our Business Office team as a Medical Collector.
**This is a Onsite Position**
JOB SUMMARY
- Ongoing follow-up and review of all payer accounts
- Must work each account at least once a month
- Check receipt of electronic claims within 7 days of bill date
- Process documentation for accounts which fall into an appeals status and properly note the account
- Follow up on all denials timely
- Informs the Business Office Manager of any payer trends
- File all completed EOB’s in the correspondence folder by date worked and note account in PAS (Patient Accounting System)
- Prepare coding review forms with all data for review by Coder
- Correct patient demographic and insurance information when necessary and generate re-bill
- Knowledge of insurance contracts and timely filing deadlines
- Knowledge of ICD10 codes and CPT codes
- Must be able to verify insurance benefits
- Initiates authorizations when needed
- Work with biller and coding team on insurance denials and coding issues
- Receives, screens, and routes incoming calls in a professional manner
- Prepares patient and insurance refunds
- Prepares accounts for collections turnover
- Informs Business Office Manager of applicable day-to-day situations
- Processes all outgoing mail, runs through postage machine and delivers to mailbox on a daily basis.
- Ability to work as a team member
- Must be flexible, reliable, productive, patient oriented and self-motivated
- Follows all facility policies and procedures
- Comply with all HIPAA regulations
**BENEFITS**:
Our competitive salary and benefits package includes medical and dental insurance, 401(k), paid time off and life insurance.
**Required Skills**:
EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS:
Previous collections experience, with emphasis on healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting.
Medical terminology.
Knowledge of ICD10 codes and CPT codes
Ability to work independently.
Excellent Communication skills and interpersonal skills.
Skilled in time management and prioritization of emergent situations.
Good customer service skills, always demonstrates professionalism.
Comfortable utilizing critical thinking skills.
Typing 45-60 WPM.
High School Diploma or equivalency.
Proficient with Microsoft Office products.
Experience with electronic patient information systems.
Prefer previous experience with Electronic Health Record system.
