Medical Claims Specialist for Hospitals

Job Overview:Private Label Staff is seeking a skilled Healthcare Claims Specialist to join our team. This role requires strong analytical and communication skills to navigate the complexities of medical claims processing.Key Responsibilities:Verify patient eligibility and benefits.Analyze claim rejections and denials to identify root causes.Collaborate with...

Overview:">We are seeking an experienced Senior Claims Specialist to join our Commercial Lines Department in Plano, Texas. As a key member of our team, you will be responsible for administering information from clients, working with clients, adjusters, and producers on claims status, problems, and questions. This role is perfect for individuals who enjoy...

At Baldwin Risk Partners, we're dedicated to providing exceptional service to our customers. As an Insurance Claims Specialist, you'll play a vital role in ensuring that our clients receive timely and accurate support for their insurance claims.About the RoleThis is an exciting opportunity to join our team of customer-focused professionals who are passionate...

Job Description:The Reimbursement Specialist plays a critical role in our revenue cycle process. Key responsibilities include billing and claims submissions, insurance benefit investigations, and authorization requests. This position requires strong analytical and communication skills, as well as attention to detail.

Location: Plano, TXAs a Title Claim Resolution Specialist, you will be responsible for managing and resolving title insurance claims efficiently and accurately. You will work closely with internal stakeholders, including underwriters, attorneys, and claims adjusters, to gather necessary information and documentation for claims processing. If you have strong...

About the Role:This is an exciting opportunity for experienced inpatient collectors to join our team as LTACH Collectors. In this role, you will play a critical part in the financial health of the organization by managing inpatient hospital collections. The successful candidate will have strong analytical skills, attention to detail, and effective...

Job OverviewWe are seeking a highly skilled Senior Medical Hospital Collections Specialist to join our team at ERISA Recovery. Based in Dallas, TX, this full-time role offers a competitive salary of $26.44 - $33.65 per hour. With a strong focus on complex aged claims collections, the ideal candidate will have 5-10 years of experience in hospital medical...

Job SummaryWe are seeking a skilled and experienced Title Insurance Claims Administrator to join TEEMA - Litchfield Park. The successful candidate will be responsible for managing and processing title insurance claims efficiently and accurately, ensuring timely resolution and exceptional customer service.Key Responsibilities:Handle all aspects of title...

Company OverviewThe Reny Company is a rapidly growing healthcare cost containment company, helping clients save money and navigate the changing healthcare system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients.Job Title: Medical Bill ReviewerWe are...

About the Role:The Medical Reimbursement Advocate will play a critical role in ensuring the smooth operation of our revenue recovery process. You will work closely with our team to identify and resolve issues related to medical claims, communicate with payors and customers, and provide exceptional support to internal stakeholders.Key...

Job Summary:The Reny Company is seeking a Healthcare Cost Containment Specialist to join our team. As a Medical Bill Negotiator, this individual will play a crucial role in helping clients reduce their healthcare costs by negotiating with medical providers and resolving claims efficiently.Main Responsibilities:Review and analyze medical bills, negotiate with...

Job OverviewWe are a leading title insurance company, seeking an experienced and skilled Title Insurance Claims Administrator to join our team at TEEMA - Litchfield Park. As a key member of our team, you will be responsible for managing and processing title insurance claims efficiently and accurately.Your primary objective will be to ensure timely resolution...

About the RoleWe are seeking an experienced Insurance Specialist/Biller to join our team at Doctors of Internal Medicine.Key ResponsibilitiesCharge Entry and Capture: Accurately record patient charges in a timely manner.Denial Management: Investigate and resolve denied claims efficiently.Claim Submission: Prepare and submit claims to primary, secondary, and...

About the JobAs a Medical Insurance Billing Specialist, you will play a critical role in ensuring accurate and timely reimbursement for healthcare providers. You will be responsible for managing moderately complicated insurance denials and underpayments via our Rubixis AR Follow Up software.Develop and maintain a strong understanding of our platform and...

Key ResponsibilitiesClaim Resolution: Identify and resolve routine outstanding claims, ensuring timely payment receipt and minimizing bad debt accrual.Report Analysis: Generate and analyze diverse reports and work lists to identify general patient account issues.Payment Processing: Ensure timely receipt of claim payments, process payments accordingly, and...

ResponsibilitiesAs a Medical Claims Negotiator at The Reny Company, your responsibilities will include:Contacting medical providers to negotiate out-of-network claimsScreening medical bills for potential negotiationCommunicating with medical providers via fax and telephoneAssisting providers in resolving disputes or issuesMonitoring In-Process Claims...

Hospital Reimbursement ExpertWe are looking for a skilled Hospital Reimbursement Expert to join our team. In this role, you will be responsible for managing inpatient hospital collections, processing insurance follow-ups, and analyzing denied claims to ensure proper reimbursement. This is a unique opportunity for experienced professionals to grow their...

As an Internal Medicine Office Insurance Coordinator, you will play a vital role in managing insurance claims and ensuring accurate reimbursement for our busy practice. With a strong background in medical billing and insurance, you will be responsible for reviewing and auditing progress notes and results against claims, following up on outstanding accounts...

Key ResponsibilitiesExpertise in processing UB-04 hospital claims with a comprehensive understanding of hospital billing form requirements.Strong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.Thorough understanding of the revenue cycle process, including prior authorization, billing, insurance appeals, and hospital...

Key ResponsibilitiesContact medical providers to negotiate greatest discount/savings on out-of-network claimsScreen medical bills for possible negotiation and contact medical providers via fax and telephone to obtain signed settlement agreementsAssist providers on related disputes/issuessBy joining our team, you will have the opportunity to develop your...