Healthcare Claims Processor

As a Healthcare Insurance Claims Specialist at Cook Children's, you will play a vital role in ensuring that patients receive timely and accurate reimbursement for their medical services. We are seeking an experienced professional to manage our insurance claims workflow, navigate complex payor websites, and communicate with claim representatives to...

About UsSerenity Healthcare is a leader in the field of healthcare technology, utilizing advanced medical devices to improve patient outcomes. We prioritize investing in our people and culture, providing a work environment that fosters growth and well-being.Job DescriptionIn this role, you will be responsible for managing the preparation, review, and...

At Serenity Healthcare, we are committed to delivering exceptional patient care and improving lives through innovative healthcare technology.Job SummaryWe are seeking a skilled Revenue Cycle Clerk to join our team. As a key member of our financial operations department, you will be responsible for preparing, reviewing, and submitting claims in a timely and...

Key ResponsibilitiesThe Claims Examiner - Provider Management is responsible for reviewing and processing claims submitted by healthcare providers. This role requires strong analytical skills, attention to detail, and excellent communication abilities.You will work independently to verify provider information, request documentation, and ensure accurate...

Job Summary:The Insurance Claims Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up responsibilities for Cook Children's Physician Network. Primary duties include follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Insurance...

**Job Summary:** Biological Specimen Processor Texas Health Care PLLC is seeking a skilled Biological Specimen Processor to join our team. This is a full-time position working Monday through Friday from 3 pm to 11 pm. About the Job:The successful candidate will be responsible for the daily operations of anatomic pathology processing, including AP order...

The role of a Provider Management Analyst is to verify accuracy of provider information and request documentation for claims audit, including itemized bills, medical records, and other necessary documents. The position involves verifying patient and provider contact details to ensure proper delivery of requests. This is a remote opportunity that requires...

We are seeking an experienced Appeals Representative to join our team at CorVel Healthcare Corporation. In this role, you will be responsible for managing the appeals process, ensuring timely and accurate resolution of complex medical claims.The ideal candidate will possess strong analytical and problem-solving skills, with the ability to interpret complex...

About the Role:This position plays a critical role in ensuring that patients receive timely and accurate payment for their medical services. The successful candidate will be responsible for managing work queues, navigating payor websites, and communicating with payors and healthcare providers to resolve claims issues.Key Skills:* Excellent communication and...

We are seeking a Claims Resolution Specialist to join our team at Cook Children's. As a key member of our revenue cycle operations, you will play a crucial role in resolving payment variances and ensuring accurate reimbursement.In this role, you will be responsible for validating underpayment variances, tracking recoveries, and collaborating with payers to...

About the RoleWe are seeking an experienced Payment Integrity Manager to join our team at CorVel Healthcare Corporation. As a key member of the PPI team, you will be responsible for ensuring the accuracy and transparency of healthcare payments. This role involves working closely with the PPI team to design, develop, and implement audit criteria, as well as...

As a Revenue Cycle Clerk at Serenity Healthcare, you will play a vital role in our financial operations department, ensuring seamless claim processing and patient satisfaction.ResponsibilitiesCore Responsibilities:Claims Management: Manage claims from initiation to resolution, ensuring timely and accurate processing.Eligibility Verification: Verify patient...

ResponsibilitiesPrepare and submit accurate and complete medical claims to ensure prompt reimbursement from insurance companies.Conduct thorough reviews of claims for errors and make necessary corrections before submission.Address and resolve any rejected claims in a timely and professional manner.Monitor and verify that claims are successfully received by...

Job OverviewCORVEL Healthcare Corporation is a leader in healthcare payment integrity solutions. We are seeking a highly skilled Payment Integrity Analyst III to join our team. As a key member of our Policy and Payment Integrity (PPI) team, you will play a vital role in ensuring the accuracy and integrity of healthcare payments.Key ResponsibilitiesLead the...

About the Role">We are seeking a highly skilled Healthcare Reimbursement Analyst II to join our team at CorVel Healthcare Corporation. As a Healthcare Reimbursement Analyst, you will play a critical role in ensuring the accuracy and integrity of healthcare payments.">Key Responsibilities:">Analyze and review pre and post-pay claim audits to ensure compliance...

About Serenity HealthcareWe offer innovative treatments for mental health conditions, providing a patient-first culture. Our team is committed to creating a positive work environment that supports growth and development.Job DescriptionThis role involves leading a team of billing specialists, tracking key performance indicators, and driving process...

Key ResponsibilitiesProvide insurance payer follow-up and ensure claims are paid according to contracts.Follow up on denied, underpaid, and overpaid mental health claims.Contact insurance companies to obtain additional information on denials.

About Our OrganizationCook Children's Health Plan is committed to providing high-quality healthcare services to our members. We are seeking a highly skilled auditor to join our team as a Auditor for Healthcare Services.The estimated salary for this position is $65,000 - $85,000 per year, depending on experience.Job Summary:This is an exciting opportunity to...

About CorVel Healthcare CorporationAt CorVel, we are committed to delivering exceptional healthcare payment solutions. Our team of experts is dedicated to accuracy and transparency in healthcare payments.

About the RoleWe are seeking an experienced Medical Biller to join our team at Serenity Healthcare. As a key member of our financial operations team, you will be responsible for resolving patient billing concerns and ensuring that our patients understand their billing statements.Your primary responsibilities will include:Reviewing and reprocessing claims as...