Claims Specialist
7 days ago
We are seeking a highly skilled Claims Specialist to join our team at Grace Health. As a Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.
Key Responsibilities:- Review and analyze medical claims for accuracy and completeness
- Enter charges into our Practice Management System
- Handle correspondence related to patient accounts and answer billing-related questions
- Produce claims on a regular schedule to Medicare, Medicaid, and other third-party payers
- Stay up-to-date with insurance regulations and make recommendations for accounts to be written off or turned over for collection
- High school diploma or equivalent
- Entry-level experience in coding and/or claims processing in a healthcare organization
- CPC or similar credentials preferred
At Grace Health, we offer a competitive salary, up to 3 weeks of PTO in the first year, and a comprehensive benefits package, including medical, vision, dental, life, and disability insurance, 401K match, and 8 paid holidays. We also offer an employee wellness program focusing on physical, mental, and financial wellness.
BASIC JOB PURPOSE: To review and analyze medical claims for accuracy and completeness, enter charges into our Practice Management System, handle correspondence related to patient accounts, and answer billing-related questions.
EXAMPLES OF DUTIES: (This list may not be all inclusive.)
- Enters charges into Practice Management system submitted from Dental provider (EDR pending charges, or encounter form & off-site charge forms).
- Acquires patient billing information from patients and source documents.
- Produce claims on regular schedule to Medicare, Medicaid, insurance carriers, and other third-party payers to ensure prompt payment.
- Keeps abreast of the various insurance regulations.
- Makes recommendations concerning accounts to be written off or turned over for collection.
- Enters all actions related to patient's account into Practice Management System as permanent record.
- Assists patients with application process for schedule of discounts program.
- Facilitates prior authorization for dental procedures.
- Manages Senior Millage Program, tracking and reporting.
- Works dental tasks submitted by third-party billing company (RCM).
- Participates in professional development activities.
-
Claims Specialist
4 weeks ago
Battle Creek, Michigan, United States Grace Health Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Claims Specialist to join our team at Grace Health. As a Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our medical billing and claims processing operations.Key ResponsibilitiesCharge Entry and Claims Processing: Enter charges into our Practice...
-
Healthcare Claims Specialist
3 weeks ago
Battle Creek, Michigan, United States Grace Health Full time{"title": "Claims Specialist", "description": "Job SummaryWe are seeking a skilled Claims Specialist to join our team at Grace Health. As a Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our billing and claims processing operations.Key ResponsibilitiesReview and verify procedure and diagnosis codes submitted by...
-
Human Resources Director
2 weeks ago
Battle Creek, Michigan, United States Freedom Motors USA Full timeJob OverviewFreedom Motors USA is seeking a highly skilled Human Resources Manager to lead all aspects of human resources, including talent acquisition, workforce planning, employee development, and performance management. The successful candidate will apply innovative HR solutions to elevate the employee experience, fuel engagement, and drive overall...
-
Claims Specialist
1 month ago
Battle Creek, United States Grace Health Full timeWe are expanding! Grace Health is currently looking for an individual with knowledge of charge entries, billing, and medical coding. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include no nights or weekend work and paid holidays. This is an onsite position.Benefits Medical, vision,...
-
Claims Specialist I
3 months ago
Battle Creek, United States Grace Health Full timeWe are expanding! Grace Health is currently looking for an individual with knowledge of charge entries, billing, and medical coding. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include no nights or weekend work and paid holidays. This is an onsite position.Benefits Medical, vision, dental, life, and...
-
Property Field Inspection Claim Specialist
2 weeks ago
Walnut Creek, California, United States Pediatrix Full timeJob Title: Property Field Inspection Claim SpecialistAt State Farm, we're committed to providing exceptional service to our customers. As a Property Field Inspection Claim Specialist, you'll play a critical role in handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Responsibilities:Conduct on-site...
-
Medical Malpractice Claims Specialist
1 week ago
Walnut Creek, California, United States GB - Global Full timeAbout the RoleWe are seeking a highly skilled Medical Malpractice Lead Claims Specialist to join our team at GB - Global. As a key member of our Claims Adjuster team, you will play a critical role in investigating, evaluating, and resolving complex Medical Malpractice claims.Key ResponsibilitiesInvestigate and evaluate Medical Malpractice claims, applying...
-
Medical Malpractice Claims Specialist
4 weeks ago
Walnut Creek, California, United States GB - Global Full timeAbout the RoleWe are seeking a highly skilled Medical Malpractice Claims Specialist to join our team at GB - Global. As a key member of our claims management team, you will be responsible for investigating, evaluating, and resolving complex Medical Malpractice claims.Key ResponsibilitiesInvestigate and evaluate Medical Malpractice claims, applying your...
-
Walnut Creek, California, United States RPS Full timeAbout the RoleWe are seeking a highly skilled and experienced California Workers Compensation Claims Specialist to join our team at RPS. As a key member of our claims team, you will be responsible for overseeing workers' compensation claims in the State of California.Key ResponsibilitiesReview new claims received from TPA on a daily basisComplete Initial...
-
Warranty Claims Specialist
3 weeks ago
Walnut Creek, California, United States Sonic Automotive Full timeWarranty Administrator Job DescriptionSonic Automotive is a Fortune 500 company and one of the largest automotive retailers in the country with over 120 dealerships nationwide. We are seeking a highly organized and detail-oriented Warranty Administrator to join our team at Mercedes Benz of Walnut Creek in Walnut Creek, CA.Job SummaryThe Warranty...
-
Walnut Creek, California, United States RPS Full timeAbout the RoleThis position is responsible for overseeing workers' compensation claims in the State of California. As a key member of our team, you will be responsible for providing excellent service to our Members, reviewing new claims, and working closely with our TPA Claims Examiner to create claim summary reports.Key ResponsibilitiesProvide exceptional...
-
SIU Investigator
4 weeks ago
Walnut Creek, California, United States Command Investigations Full timeJob SummaryWe are seeking a highly skilled and experienced SIU Investigator to join our team at Command Investigations. As a key member of our team, you will be responsible for conducting thorough and accurate investigations into property and casualty claims.Key ResponsibilitiesConduct in-person recorded statements and scene investigationsWrite detailed and...
-
Underwriting Support Specialist
6 days ago
Walnut Creek, United States Robert Half Full timeJob DescriptionJob DescriptionWalnut Creek Insurance Company is looking for an onsite temporary Document Management Specialist.In this Document Management position, you will be responsible for the following:•Review initial submission of documents received via email and sort for processing•Reviews scanned images of paper mail – label/title them per...
-
Human Resources Manager
4 weeks ago
Battle Creek, United States Freedom Motors USA Full timeAbout Freedom Motors USA Freedom Motors USA is a nationwide, family-owned and operated company, headquartered in Battle Creek, MI, and is the leading manufacturer and retailer of wheelchair-accessible vehicles with the widest-ranging product line in the United States. Founded in 1987, we focus on providing customized options for the unique needs of our...
-
Pharmacy Specialist
2 weeks ago
Battle Ground, Washington, United States CenterLight Health System Full timeJob SummaryWe are seeking a highly skilled Pharmacy Specialist to join our team at CenterLight Health System. As a key member of our pharmacy team, you will play a vital role in ensuring the smooth operation of our pharmacy services.Key ResponsibilitiesReview daily rejected claim reports to identify and resolve issues in a timely manner.Communicate with...
-
Receptionist/ Authorization/ Billing Specialist
1 month ago
Battle Ground, United States Battle Ground Physical Therapy Full timeBattle Ground Physical Therapy is a physical therapist owned, outpatient private practice in Battle Ground, WA. We are hiring for a Medical Receptionist/ Billing/ Authorization Specialist to join our team. If you are a detail-oriented individual with previous office experience, we encourage you to apply for the position. Join our team and contribute to the...
-
Receptionist - State Farm Agent Team Member
4 months ago
Battle Creek, United States Chad Heeter - State Farm Agent Full timeJob DescriptionJob DescriptionCompany Overview: Chad Heeter State Farm, a dynamic and forward-thinking player in the insurance industry, is actively seeking energetic and customer-focused individuals to join our team as Junior Insurance Customer Service Specialists. If you're a tech-savvy, people-oriented individual with a passion for making a positive...
-
Pharmacy Billing Specialist
3 weeks ago
Cabin Creek, United States Pharmacy Solutions Group Full timeJob SummaryThe Pharmacy Solutions Group is seeking a skilled Pharmacy Billing Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring accurate and timely billing for our pharmacy services.ResponsibilitiesClaims ProcessingVerify patient information and ensure accurate billingProcess claims for pharmacy...
-
Pharmacy Billing Specialist
3 weeks ago
Cabin Creek, United States Pharmacy Solutions Group Full timePharmacy Billing SpecialistPharmacy Solutions Group is seeking a skilled Pharmacy Billing Specialist to support our team in West Virginia.Key Responsibilities:Process and manage medical claims for assigned homesVerify patient information and ensure accurate billingMonitor and manage room moves and updates in our systemRebill process for payer changes and...
-
Quality Assurance Specialist
3 weeks ago
Pond Creek, United States Chili's Grill & Bar Full timeChili's Grill & Bar is seeking a Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring that every Guest receives perfectly prepared, high-quality food. You will provide dependable, fast service that is absolutely Chili's. If you take pride in great teamwork, then we want to hear from...
-
Regulatory Compliance Specialist
2 weeks ago
Walnut Creek, California, United States Del Monte Foods Full timeJob Title: Regulatory SpecialistDel Monte Foods, Inc. is seeking a highly skilled Regulatory Specialist to join our team. As a key member of our Regulatory team, you will be responsible for providing regulatory support across the DMFI enterprise, including development of technical data for labels, review and approval of consumer and customer communications,...
-
Pharmacy Data Entry Specialist
1 week ago
Cabin Creek, United States CommuniCare Family of Companies Full timePharmacy Data Entry Technician - Mid ShiftThe CommuniCare Family of Companies is seeking a skilled Pharmacy Data Entry Technician to join our team in a mid-shift role.About the RoleThis is a dynamic opportunity for a detail-oriented individual to work in a fast-paced environment, reviewing and inputting new and readmitted residents' information to ensure...
-
Billing and Collections Specialist
2 weeks ago
Johns Creek, Georgia, United States Summit Counseling Center - Atlanta Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Billing and Collections Specialist to join our team at Summit Counseling Center - Atlanta. As a key member of our financial operations team, you will be responsible for ensuring accurate and timely billing and collections processes.Key ResponsibilitiesProcess and manage patient billing and...