Medical Claims Refund Specialist
2 days ago
CVS Health is seeking a highly skilled Medical Claims Refund Specialist to join our team. As a key member of our Refund team, you will play a critical role in ensuring timely credit balance resolution via refunds to patients, governmental agencies, and other third-party payers.
Key Responsibilities- Review and verify the validity of credit balances by analyzing accurate billing and posting procedures.
- Perform analytical activities for the reimbursement/collections department, managing healthcare accounts receivable.
- Initiate refunds, offsets, and adjustments to resolve outstanding balances.
- Analyze issues and search for solutions to ensure efficient resolution.
- Maintain chronological notes detailing action taken to resolve outstanding balances.
- 1+ years' experience in healthcare reimbursement, medical billing, or insurance collections, and/or account reconciliation/account review/account resolution.
- 1+ years' experience in Microsoft Office Suite, specifically Microsoft Excel, Microsoft Outlook, and Microsoft Word.
- Must live within a 1-hour commute from Monroeville, PA office.
- Strong written and verbal communication skills.
- Strong team-oriented and collaboration skills.
CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs.
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Accounts Receivable Specialist
3 weeks ago
Monroeville, Pennsylvania, United States A-Line Staffing Solutions Full timeJob OverviewA-Line Staffing Solutions is currently seeking an Accounts Receivable Specialist. This role is essential for managing and processing billing operations efficiently.Compensation and BenefitsThe hourly wage for this position is $19.50.Full-time employees are eligible for benefits after a designated period of employment.Position HighlightsThe...
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Medical Office Nurse Specialist
5 days ago
Monroeville, Pennsylvania, United States Medical Office Full timeJob SummaryWe are seeking a skilled Office Nurse to provide high-quality patient care in our Medical Office setting.Key Responsibilities:Provide comprehensive nursing care to patients through telephone triage and in-person assessmentsDevelop and implement patient treatment plans in collaboration with physicians and specialistsMonitor patient symptoms and...
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Medical Copay Card Coordinator
2 weeks ago
Monroeville, Pennsylvania, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly skilled Medical Copay Card Coordinator to join our team. As a Medical Copay Card Coordinator, you will play a critical role in ensuring timely and accurate billing for outstanding claims while providing exceptional customer service to patients, healthcare professionals, and insurance carriers.Key...
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Pharmacy Billing Specialist
3 weeks ago
Monroeville, Pennsylvania, United States CVS Health Full timeJoin CVS HealthAt CVS Health, we are united by a common mission: to bring our heart to every moment of your health. This mission drives our dedication to providing enhanced, human-centered healthcare in a rapidly evolving landscape.Our core values, embodied in our Heart At Work BehaviorsTM, emphasize that the manner in which we deliver our services is as...
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Medical Billing and Payable Specialist
4 days ago
Monroeville, Pennsylvania, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly skilled Medical Billing and Payable Representative to join our team. In this role, you will be responsible for ensuring timely and accurate invoicing for outstanding claims while providing exceptional customer service to internal and external customers.Key ResponsibilitiesObtain and review nursing documentation for...
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Medical Copay Card Coordinator
4 days ago
Monroeville, Pennsylvania, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly skilled Medical Copay Card Coordinator to join our team. As a Medical Copay Card Coordinator, you will play a critical role in ensuring timely and accurate billing for outstanding claims while providing exceptional customer service to patients, healthcare professionals, and insurance carriers.Key...
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Medical Billing and Payable Specialist
2 weeks ago
Monroeville, Pennsylvania, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly skilled Medical Billing and Payable Representative to join our team. As a key member of our Revenue Cycle team, you will be responsible for ensuring timely and accurate invoicing for outstanding claims while providing exceptional customer service to internal and external customers.Key ResponsibilitiesObtain and...
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Mobile MRI Imaging Specialist
3 weeks ago
Monroeville, Pennsylvania, United States RTG Medical-Allied Full timeRTG Medical-Allied is currently seeking a Mobile MRI Imaging Specialist for a travel position. Position OverviewSpecialty: MRI ImagingDiscipline: Allied Health ProfessionalEmployment Type: TravelWeekly Hours: 36 hoursShift Length: 12 hoursAssignment Duration: 12 weeksThis is an excellent opportunity for a Mobile MRI Imaging Specialist looking to expand their...
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Medical Office Nurse-LPN
2 weeks ago
Monroeville, Pennsylvania, United States Medical Office Full timeJob SummaryWe are seeking a skilled and dedicated Nurse-LPN to join our Medical Office team. As an Office Nurse-Urology/Oncology, you will play a critical role in providing high-quality patient care and contributing to the success of our healthcare organization.Key ResponsibilitiesAssessment and Diagnosis: Conduct thorough assessments of assigned patients to...
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Mobile MRI Imaging Specialist
3 weeks ago
Monroeville, Pennsylvania, United States Aureus Medical Group - Imaging Full timeAureus Medical Group - Imaging is currently seeking a Mobile MRI Imaging Specialist for a travel position. Job Overview & Requirements Specialty: MRI Imaging Specialist Discipline: Allied Health Professional Duration: 14 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Estimated Compensation Breakdown ~$ $2640.00/week*~$ $ in...
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Traveling MRI Imaging Specialist
3 weeks ago
Monroeville, Pennsylvania, United States RTG Medical-Allied Full timePosition Overview:RTG Medical-Allied is currently in search of a traveling MRI Imaging Specialist to join our team. This role involves providing high-quality imaging services in various healthcare settings.Key Responsibilities:- Perform MRI scans and ensure patient safety during procedures.- Collaborate with healthcare professionals to deliver optimal...
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Traveling CT Imaging Specialist
3 weeks ago
Monroeville, Pennsylvania, United States Summit Medical Staffing Allied Full timeSummit Medical Staffing Allied is currently in search of a traveling CT Imaging Specialist for an exciting opportunity.Position Overview & RequirementsSpecialty: CT Imaging SpecialistField: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hours, nightsEmployment Type: TravelBenefits: Guaranteed StipendsWeekly Compensation401K Retirement...
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Traveling CT Imaging Specialist
3 weeks ago
Monroeville, Pennsylvania, United States Summit Medical Staffing Allied Full timePosition OverviewSummit Medical Staffing Allied is currently in search of a traveling CT Imaging Specialist to join our dynamic team.Role Responsibilities & RequirementsSpecialty: CT Imaging SpecialistField: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hours, night shiftsEmployment Type: TravelBenefits: Guaranteed StipendsWeekly...
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Overnight CT Imaging Specialist
2 weeks ago
Monroeville, Pennsylvania, United States Summit Medical Staffing Allied Full timePosition Overview: Summit Medical Staffing Allied is currently seeking a dedicated travel CT Imaging Specialist for an exciting opportunity. Field: Allied Health Professional Shift Details: 8-hour night shifts Employment Type: Travel Compensation and Benefits: - Competitive Weekly Pay - 401K Retirement Plan - Mileage Reimbursement - Comprehensive Medical...
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Travel Nurse RN
7 days ago
Monroeville, Pennsylvania, United States OneStaff Medical Full timeJob SummaryOneStaff Medical is seeking a skilled Travel Nurse RN to join our team as a Wound Care Specialist. This is a 13-week assignment in a dynamic healthcare setting.Job ResponsibilitiesProvide high-quality patient care as a Wound, Ostomy and Nurse, managing wounds and ostomies, and monitoring healing.Collaborate with a healthcare team to assess...
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Trauma Data Specialist
5 days ago
Monroeville, Pennsylvania, United States Highmark Health Full time{"title": "Trauma Data Specialist", "content": "Job SummaryWe are seeking a skilled Trauma Data Specialist to join our team at Highmark Health. In this role, you will be responsible for collecting and abstracting data for the trauma program, ensuring compliance with regulatory requirements and industry standards.Key ResponsibilitiesCollect and abstract data...
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Clinical Laboratory Specialist
3 weeks ago
Monroeville, Pennsylvania, United States UPMC - Pittsburgh Medical Center Full timePosition OverviewAre you a Clinical Laboratory Specialist or Clinical Lab Technician with a minimum of 6 months of experience in laboratory settings seeking to advance your professional journey?UPMC is pleased to present a night shift program incentive. If you are eager to become part of a vibrant team where you can experience fulfillment and achievement...
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Medical Documentation Specialist
2 weeks ago
Monroeville, Pennsylvania, United States Scribe America Full timeJob Overview:ScribeAmerica is seeking a highly skilled and detail-oriented Veterinary Scribe Coordinator to join our team. As a key member of our clinical support staff, you will play a vital role in ensuring the accuracy and efficiency of medical documentation in our veterinary hospitals.Key Responsibilities:Accurately and efficiently document patient...
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Traveling CT Imaging Specialist
1 week ago
Monroeville, Pennsylvania, United States Cross Country Allied Full timePosition OverviewCross Country Allied is actively seeking a traveling CT Imaging Specialist to join our team. Job Details~ Specialty: CT Imaging Specialist ~ Discipline: Allied Health Professional ~ Employment Type: Travel Work Schedule:~ 40 hours per week ~ Shift: 8 hours, nights Role ResponsibilitiesAs a CT Imaging Specialist, you will utilize advanced...
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Support Specialist
2 weeks ago
Monroeville, Pennsylvania, United States Alliance Adult Care Services Full timeAbout the RoleWe are seeking a dedicated and compassionate Caregiver to join our team at Alliance Adult Care Services. As a Support Specialist, you will play a vital role in supporting individuals with their daily needs and promoting their emotional, social, and intellectual growth.Key ResponsibilitiesAssist individuals with their Activities of Daily Living...