Medical Claims Specialist
2 weeks ago
We are seeking a highly skilled Medical Biller to join our team at Medical Recovery Services. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to third-party payers.
Responsibilities:- Utilize various billing systems and clearinghouses to perform data entry and prepare hospital and physician bills for submission to third-party payers.
- File hospital and physician claims and work accounts receivable (UB04/1450/1500) on primary and secondary third-party payers, including Medicare, Medicaid, Commercial, Auto Liability, and Work Comp claims.
- Identify and correct system edits preventing successful electronic filing.
- Practice proactive denials management and communicate with third-party payers to resubmit rejected or denied claims.
- Correct errors and resubmit all unprocessed, rejected, or returned claims.
- Work A/R reports to follow up on unpaid claims and submit paper claims as required.
- Prepare and submit 1st and 2nd level appeals as necessary.
- 2-3 years of prior hospital billing experience.
- Thorough understanding of claims processing and medical code sets.
- Thorough understanding of A/R follow-up process.
- Knowledge of standard industry health plan structures.
- Proficiency in MS Office.
- Experience billing from Epic and/or Cerner.
We offer a competitive salary and benefits package to the right candidate. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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Compensation Claims Specialist
3 weeks ago
Kansas City, Missouri, United States EPITEC Full timeJob SummaryWe are seeking a skilled Compensation Claims Specialist to join our team at EPITEC. As a key member of our claims handling team, you will be responsible for managing workers compensation claims from initial reporting to resolution.Key ResponsibilitiesInvestigate and analyze claims to determine liability and extent of injuriesCommunicate with...
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Claims Specialist
11 hours ago
Kansas City, Missouri, United States Sun Life Full timeJob SummaryWe are seeking a highly skilled Claims Specialist to join our team at Sun Life. As a Claims Specialist, you will be responsible for managing initial liability claims submitted for Critical Illness, Cancer, Hospital Indemnity, and Accidental claims.Key ResponsibilitiesConduct thorough reviews and investigations of claims to determine initial and...
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Workers Compensation Claims Specialist
1 month ago
Kansas City, Missouri, United States zobility Full time**Job Summary**We are seeking a highly skilled and detail-oriented Workers Compensation Claims Specialist to join our team at Zobility, a leading workforce management and staffing division of RGBSI. As a key member of our team, you will be responsible for handling workers compensation claims with a focus on excellent customer service, quality claims...
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Medical Claims Examiner
2 days ago
Kansas City, Missouri, United States NTT DATA Group Corporation Full timeRemote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team. As a key member of the team, you will be responsible for processing professional and hospital claim forms files by provider, reviewing policies and benefits, and ensuring compliance with company regulations regarding HIPAA,...
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Medical Claims Examiner
3 weeks ago
Kansas City, Missouri, United States NTT DATA Group Corporation Full timeRemote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team!Key Responsibilities:Process professional and hospital claim forms files by providerReview policies and benefitsComply with company regulations regarding HIPAA, confidentiality, and PHIAbide by timelines to complete compliance...
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Claims Resolution Specialist
2 days ago
Kansas City, Missouri, United States C.H. Robinson Full timeCargo Claims RepresentativeC.H. Robinson is seeking a dedicated Claims Representative to join our team. In this role, you will act as a liaison between corporate and network offices, process new claims, and ensure timely claims settlements.Key Responsibilities:Act as a liaison between corporate and network offices to gather information for claim...
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Workers Compensation Claims Specialist
3 weeks ago
Kansas City, Missouri, United States Optimal CAE Full timeAbout Optimal-Staffing:As a premier automotive staffing supplier to the big three automakers and other OEMs, we are seeking an experienced Workers Compensation Analyst to join our team.We are committed to providing exceptional service and quality claims handling to our clients.Job Summary:We are looking for a skilled Workers Compensation Analyst to perform...
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Medical Billing Specialist
19 hours ago
Kansas City, Missouri, United States Medix Full timeWe are seeking a skilled Medical Billing Specialist to join our team at Medix. As a key member of our team, you will be responsible for managing the billing process for our clients, ensuring timely and accurate submission of claims to third-party payers.Key Responsibilities:Utilize billing software to perform data entry and prepare hospital/physician bills...
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Catastrophe Claims Specialist
4 weeks ago
Kansas City, Missouri, United States FBL Financial Full timeAbout the RoleWe are seeking a highly skilled Catastrophe Claims Representative to join our team. As a Catastrophe Claims Representative, you will be responsible for investigating, evaluating, and negotiating property claim assignments involving homeowner, farm, and commercial risks.Key ResponsibilitiesImmediate response to CAT storm events to investigate,...
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Catastrophe Claims Specialist
2 weeks ago
Kansas City, Missouri, United States FBL Financial Full timeAbout the RoleWe are seeking a highly skilled Catastrophe Claims Representative to join our team at FBL Financial. As a Catastrophe Claims Representative, you will be responsible for responding to catastrophic events, investigating and evaluating property claims, and negotiating settlements with clients.Key ResponsibilitiesInvestigate and evaluate property...
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Catastrophe Claims Specialist
3 weeks ago
Kansas City, Missouri, United States FBL Financial Full timeAbout the RoleWe are seeking a highly skilled Catastrophe Claims Representative to join our team at FBL Financial. As a Catastrophe Claims Representative, you will be responsible for responding to catastrophic events, investigating and evaluating property claims, and negotiating settlements with clients.Key ResponsibilitiesInvestigate and evaluate property...
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Insurance Claims Specialist
1 month ago
Kansas City, Missouri, United States Swope Health Services Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patients' information and preparing and filing insurance claims in accordance with insurance carrier's regulatory and contractual requirements.Key...
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Insurance Claims Specialist
3 weeks ago
Jefferson City, Missouri, United States Central Trust Bank Full timeJob Title: Insurance Claims SpecialistAt Central Trust Bank, we are seeking a highly skilled Insurance Claims Specialist to join our team. As a key member of our mortgage servicing department, you will play a critical role in ensuring the smooth resolution of hazard insurance claims.Key Responsibilities:Respond to customer inquiries and provide timely...
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Medical Billing Specialist
4 weeks ago
Kansas City, Missouri, United States Medix Full timeJob Title: Physician BillerWe are seeking a skilled Medical Billing Specialist to join our team at Medix. As a key member of our team, you will be responsible for ensuring timely and accurate submission of hospital and physician bills to third-party payers.Key Responsibilities:Utilize billing software to perform data entry and prepare hospital/physician...
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Medical Coding Specialist
1 month ago
Kansas City, Missouri, United States NSN Revenue Resources Full timeJob Title: Medical Coding SpecialistNSN Revenue Resources is seeking a skilled Medical Coding Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for assigning accurate medical codes to facility charges, ensuring compliance with coding guidelines and regulations.Responsibilities:Review and analyze medical records...
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Field Claims Representative
3 weeks ago
Kansas City, Missouri, United States Accuity Full timeJob Title: Field Claims RepresentativeAcuity is seeking a highly skilled Field Claims Representative to investigate and resolve Commercial and Personal Lines claims with empathy, passion, and a sense of urgency. The ideal candidate will have experience handling multiline claims, including Commercial Auto, and Litigation experience is a plus.Key...
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Medical Coding Specialist
3 weeks ago
Kansas City, Missouri, United States NSN Revenue Resources Full timeJob Title: Medical Coding SpecialistNSN Revenue Resources is seeking a skilled Medical Coding Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for assigning accurate medical codes to facility charges, ensuring compliance with coding guidelines and regulations.Responsibilities:Review and analyze medical records...
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Insurance Claims Examiner
3 weeks ago
Kansas City, Missouri, United States Swope Health Services Full timeJob SummaryWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patient information and preparing and filing insurance claims in accordance with regulatory and contractual requirements.Key ResponsibilitiesValidate patient...
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Legal Claims Processor
3 weeks ago
Kansas City, Missouri, United States LHH Recruitment Solutions Full timeJob Title: Legal Claims ProcessorLHH Recruitment Solutions is seeking a detail-oriented Legal Claims Processor to handle customer fund claims from third parties. The ideal candidate will ensure accuracy and legality, manage account holds, and communicate with various stakeholders.Responsibilities:Review and process claims (garnishments, levies, liens,...
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Insurance Claims Examiner
3 weeks ago
Kansas City, Missouri, United States Swope Health Services Full timeJob Title: Insurance Clerk IAs an Insurance Clerk I at Swope Health Services, you will play a vital role in ensuring the accuracy and efficiency of our insurance claims process.We are seeking a highly organized and detail-oriented individual to join our team. If you have a passion for providing excellent support and are known for your organizational skills,...