Medicare Claims Specialist

About the Role:The CommuniCare Health Services Corporate is seeking a skilled Medicare Claims Specialist to join our Central Billing Office in Cincinnati, OH. As a key member of our team, you will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.Key...

About the RoleWe are seeking a highly skilled Medicare Biller to join our Central Billing Office in Cincinnati, OH. As a key member of our team, you will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.Key ResponsibilitiesVerify receipt of monthly triple check forms and...

About Federated Mutual Insurance CoFederated Mutual Insurance Co is a company that values its clients' success and provides tremendous opportunities for growth. Our employees are our greatest asset, and we strive to create a work environment that embodies our values and commitment to diversity and inclusion.We are seeking a skilled Claims Resolution...

About the Role:Federated Mutual Insurance Co is seeking a skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will work closely with policyholders, physicians, attorneys, and contractors to ensure claims are resolved in a prompt, fair, and courteous manner.Key Responsibilities:Explain policy coverage to policyholders...

Job SummaryWe are seeking a skilled Claims Resolution Specialist to join our team at Crawford & Company. As a Claims Resolution Specialist, you will be responsible for investigating and resolving complex claims involving workmanship warranty, liability damage, and performance-related matters.Key Responsibilities:Monitor and investigate inbound assignment...

Job OverviewPhoenix Loss Control is seeking a skilled Claims Resolution Specialist to join our team. As a key member of our recovery team, you will be responsible for reviewing claims information, identifying liable parties, and pursuing recovery of repair costs.Key Responsibilities:Review and analyze claim information to determine liable parties and take...

Job SummaryWe are seeking an experienced Insurance Specialist to join our team at Bone Dry Roofing. As an Insurance Specialist, you will be responsible for navigating the insurance process on behalf of our clients and ensuring that claims are processed efficiently and accurately.Key Responsibilities• Work with Bone Dry sales Representatives and clients to...

Job Summary:As a Business Analyst III- Pharmacy Claims/Query Testing, you will serve as the liaison between the business and IT in translating complex business needs into application software. This role is responsible for understanding the Pharmacy benefit setup and validating the configuration using test claims/query testing.Key Responsibilities:Validate...

Job DescriptionMedicare and Medicaid Enrollment RepresentativeLocation: RemoteReports to: Credentialing and Enrollment Medicaid and Medicare ManagerSupervises: N/AThis is a Full-Time, Salaried, Exempt PositionSummaryThis salaried, full-time position plays a crucial role in the organization's success. As the Medicaid and Medicare enrollment expert, you will...

Job SummaryWe are seeking a skilled Claims Associate to join our team at American United Life Ins Co. As a Claims Associate, you will be responsible for managing an assigned caseload of claims, ensuring that they are processed in a fair and ethical manner, and within all requirements and service standards.The ideal candidate will have a strong understanding...

About Balance Claims LLCBalance Claims LLC is a Business Process Outsourcing (BPO) firm dedicated to assisting contractors with the management of their construction job files, including estimates and supplements work processes.We partner with leading technology platforms and service vendors to deliver thorough, compliant, and timely construction job file...

Job Title: Claims Representative IJob Summary:Elevance Health is seeking a Claims Representative I to join our team. As a Claims Representative I, you will be responsible for successfully completing the required basic training and performing basic job functions with help from co-workers, specialists, and managers on non-basic issues. You will also be...

Job Title: Claims Representative IJob Summary: We are seeking a Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for successfully completing the required basic training and performing basic job functions with help from co-workers, specialists, and managers on non-basic issues. You will also be...

Job Title: Quality Assurance SpecialistJob Summary: We are seeking a Quality Assurance Specialist to join our team at SNI Companies. The successful candidate will be responsible for monitoring and rating member service representatives based on established quality guidelines. This role requires excellent communication and analytical skills, as well as the...

Job Summary:The Grievance & Appeals Specialist II is responsible for reviewing appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. This role requires strong analytical and communication skills to ensure accurate and timely resolution of appeals.Key Responsibilities:Prepare appeals for clinical review and...

Job SummaryAs a Claims Coordinator at Indy Gov, you will be responsible for performing loss recovery of debt for the City-County enterprise. This includes subrogation of property damage recovery with insurance vendors and/or citizens, issuance of demand letters, and coordination of aged debt to outside Collection or Legal Firms.Key Responsibilities Maintain...

Job OverviewWe are seeking a highly skilled Clinical Billing Specialist to join our team at Quipt Home Medical. As a key member of our DME billing team, you will be responsible for initiating billing claims, processing denials, and ensuring timely reimbursement for services provided.Key Responsibilities:Review clinical documentation to ensure compliance with...

Job Category: ClaimCompensation Overview:The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country.The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education,...

Job Summary: The Grievance & Appeals Specialist II plays a critical role in reviewing appeals submitted by Medicaid and Medicare providers and future providers contracted with CareSource. This position requires strong analytical and communication skills to ensure timely and accurate resolution of appeals.Key Responsibilities:Prepare appeals for clinical...

About the Role:The Automotive Mechanical Inspector will travel to repair facilities in your area to verify mechanical failures. This is a unique opportunity to utilize your automotive repair experience and skills to support the claims process.Key Responsibilities:* Travel to repair facilities to investigate mechanical failures* Verify mechanical failures and...