Claims Processing Specialist

1 week ago

MagstattleBas, Grand Est, United States Limitless Male Full time
JOB TITLE: Claims Processing Specialist
EMPLOYER: Limitless Male Medical
DEPARTMENT: Revenue Cycle
REPORTS TO: Revenue Cycle Manager

ABOUT LIMITLESS MALE MEDICAL CLINIC:

Limitless Male is a rapidly expanding, innovative, and collaborative organization dedicated to supporting both our employees and our clients. We are committed to fostering an environment where excellence thrives, inspiring teamwork, and making a positive impact while enjoying the journey. Our comprehensive benefits package includes health insurance, branded apparel, discounts, and a vibrant workplace culture. Here, you can contribute to helping men from diverse backgrounds achieve their aspirations and enhance their well-being.

POSITION OVERVIEW:

The Claims Processing Specialist plays a crucial role in the accurate submission of claims to various payers, adhering to established guidelines and regulations. This position is essential for ensuring that each claim submitted by Limitless Male Medical Clinic and its affiliates is precise and accepted by the payer, whether submitted electronically or via paper.

KEY RESPONSIBILITIES:
  • Submit claims electronically and on paper to all payers, ensuring compliance and resolving edits in both the patient account system and the clearinghouse.
  • Identify and investigate complex claim issues, providing insights for improvement to the Revenue Cycle Manager.
  • Conduct audits on accounts to implement necessary corrections.
  • Update patient account coverage information as required.
  • Meet or exceed departmental standards for productivity, quality, and attendance.
  • Exercise sound judgment and discretion when handling confidential information.
  • Adhere to all departmental and organizational guidelines, including relevant laws and regulations.
  • Collaborate with internal teams and external clients to ensure optimal revenue cycle operations.
  • Maintain a strong understanding of payer, state, and federal regulations related to claims processing.
ADDITIONAL DUTIES:
  • Perform other tasks as assigned by the Revenue Cycle Manager.
QUALIFICATIONS:
  • 2-3 years of experience in professional fee revenue cycle management in any back-office capacity.
  • Comprehensive knowledge of claim processing from multiple perspectives (submissions, processing, dependencies).
  • Proficient in medical software and technology.
  • Skilled in Microsoft Office applications.
  • Able to multitask, prioritize workload, and meet deadlines effectively.
  • Excellent verbal and written communication abilities.
  • Detail-oriented with strong analytical skills.
  • Capable of thriving in a fast-paced environment.
  • Strong customer service orientation.
  • Adept at addressing inquiries from patients and insurance companies.
  • Ability to work independently as well as collaboratively within a team.
  • Strong problem-solving capabilities.
  • Results-driven approach.

  • Claims Processing Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Limitless Male Full time

    JOB TITLE: Claims Processing Specialist EMPLOYER: Limitless Male Medical DEPARTMENT: Revenue Cycle REPORTS TO: Revenue Cycle Manager ABOUT LIMITLESS MALE MEDICAL CLINIC: Limitless Male is a rapidly expanding and innovative organization dedicated to the well-being of both our employees and patients. We foster a collaborative environment where excellence is...

  • Claims Processing Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Limitless Male Full time

    JOB TITLE: Claims Processing Specialist EMPLOYER: Limitless Male Medical DEPARTMENT: Revenue Cycle REPORTS TO: Revenue Cycle Manager ABOUT LIMITLESS MALE MEDICAL CLINIC: Limitless Male is a rapidly expanding, innovative, and collaborative organization dedicated to the well-being of both our employees and patients. We strive to create an environment where...

  • Claims Processing Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Baxter Shared Services Full time

    Are you ready to make a significant impact in the automotive sector? Join Baxter Shared Services and discover how remarkable your contributions can be.At Baxter, we are redefining the standard for both the vehicle purchasing experience and the workplace environment. As a valued member of the Baxter team, you will be part of a dynamic organization that...

  • Claims Processing Grant Analyst

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Amber Specialty Pharmacy Full time

    Company Overview:At Amber Specialty Pharmacy, we prioritize exceptional patient care and strive to make a meaningful difference in the lives of individuals facing complex health challenges.Work Schedule:Monday to Friday, 8:00 AM to 5:00 PMNo Weekend ShiftsEnjoy six paid holidays and generous Paid Time Off (PTO).Compensation:Hourly wage range of $18.50 to...

  • Claims Examiner

    6 hours ago

    Magstatt-le-Bas, Grand Est, United States Sedgwick Full time

    About the RoleWe are seeking a highly skilled Claims Examiner - Liability Specialist to join our team at Sedgwick. As a key member of our claims team, you will be responsible for analyzing and processing complex Commercial General Liability & Auto Liability claims on behalf of our valued clients.Key ResponsibilitiesAnalyze and process claims through...

  • Claims Processing Coordinator

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Transdev Full time

    The primary role of the Claims Processing Coordinator involves the verification, reconciliation, and updating of service records within the designated Dispatch & Scheduling system to guarantee precision and thoroughness. This position will also support the claims department by reconciling provider-submitted claims with outstanding payment allegations.Key...

  • Insurance Claims Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States National Indemnity Company Full time

    About National Indemnity CompanyWe are a prominent player in the insurance sector, seeking a skilled Claims Examiner to oversee property and bodily injury claims. This role is pivotal in ensuring the effective management of claims, contributing to our reputation for excellence.Key Responsibilities:Conduct thorough investigations of property and bodily injury...

  • Insurance Claims Specialist

    1 week ago

    Magstatt-le-Bas, Grand Est, United States National Indemnity Company Full time

    About National Indemnity CompanyWe are a prominent player in the insurance sector, seeking a dedicated Claims Examiner to oversee property and bodily injury claims. This role is essential in ensuring that our clients receive fair and timely evaluations of their claims.Key Responsibilities:Conduct thorough investigations of property and bodily injury...

  • Insurance Claims Specialist

    1 week ago

    Magstatt-le-Bas, Grand Est, United States National Indemnity Company Full time

    About National Indemnity CompanyWe are a prominent player in the insurance sector, dedicated to providing exceptional service in managing claims. We are currently in search of a Claims Examiner to oversee property and bodily injury claims.Key Responsibilities:Conduct thorough investigations of property and bodily injury claimsGather and assess essential...

  • Insurance Claims Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States McCord & Associates Full time

    About Us: McCord & Associates is a family-owned organization committed to delivering outstanding service to our clients while fostering a supportive environment for our employees.Position: Claims Assessment ExpertEmployment Type: Full-time, SalariedLocation: Omaha, NE - In officeKey Responsibilities:Conduct thorough investigations and evaluations of...

  • Medical Claims Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Argo Group Full time

    About Argo GroupArgo Group stands at the forefront of specialty insurance, fostering a dynamic culture grounded in respect, equality, wellness, and opportunity. As an innovative organization, we balance agility with the capacity to effect meaningful change within our industry.Our Workplace CultureWe are committed to creating a flexible work environment that...

  • Insurance Claims Evaluator

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Argo Group Full time

    About Argo GroupArgo Group stands as a prominent figure in the specialty insurance sector, fostering a dynamic culture centered on respect, equality, wellness, and opportunity. We pride ourselves on being an innovative organization that balances agility with the capacity to effect meaningful change within our industry.Our Work EnvironmentWe are committed to...

  • Claims Processing Specialist

    2 weeks ago

    Gondrecourt-le-Château, Grand Est, United States Merit Chevrolet Full time

    Position Overview: The Claims Processing Specialist at Merit Chevrolet Co. plays a crucial role in overseeing warranty claims and ensuring adherence to warranty regulations and protocols. This position requires collaboration with service personnel, technicians, and clients to guarantee the precise and prompt handling of claims. Key Responsibilities: Assess...

  • Claims Resolution Expert

    7 days ago

    Magstatt-le-Bas, Grand Est, United States Methodist Health System Full time

    Job SummaryAt Methodist Health System, we are seeking a highly skilled professional to join our team as a Denials Management Specialist. This role is responsible for reviewing and resolving denials for commercial and government payers, as well as physician and facility claims. The successful candidate will have a strong understanding of contract agreements,...

  • Medical Billing Specialist

    1 week ago

    Magstatt-le-Bas, Grand Est, United States CommonSpirit Health Full time

    Job Title: Medical Billing SpecialistAt CommonSpirit Health, we are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely billing of medical supplies and equipment, as well as managing patient accounts receivable.About CommonSpirit...

  • Claims Adjuster

    7 days ago

    Magstatt-le-Bas, Grand Est, United States Argo Group Full time

    Job SummaryArgo Group is seeking a skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will play a critical role in determining whether coverage exists for insureds, denying claims ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...

  • Medical Claims Adjuster

    7 days ago

    Magstatt-le-Bas, Grand Est, United States Argo Group Full time

    Job SummaryArgo Group is seeking a skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for insureds, denying claims ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...

  • Medical Billing Specialist

    5 days ago

    Magstatt-le-Bas, Grand Est, United States Catholic Health Initiatives Full time

    Job SummaryCatholic Health Initiatives is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely billing of medical services to patients and insurance providers.Key ResponsibilitiesMaintain accurate and up-to-date patient accounts receivable...

  • Tissue Processing Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Nebraska Medicine Full time

    Join Our Team at Nebraska MedicineAt Nebraska Medicine, we are dedicated to providing exceptional healthcare. Our commitment to excellence is reflected in our values: Innovation, Teamwork, Excellence, Accountability, Courage, and Healing.Position Overview:As a Tissue Processing Specialist, you will play a vital role in preparing and processing patient tissue...

  • Patient Assistance Program Specialist

    2 weeks ago

    Magstatt-le-Bas, Grand Est, United States Amber Specialty Pharmacy Full time

    Company Overview:At Amber Specialty Pharmacy, we prioritize exceptional patient care and support individuals with complex health needs. Our team is dedicated to making a meaningful difference in the lives of our patients. Work Schedule:Monday to Friday: 8:00 AM - 5:00 PMNo Weekend ShiftsEnjoy Six Paid Holidays and Paid Time Off (PTO)Compensation:Hourly Wage...