Medicare Claims Specialist

Medicare Billing and Collections SpecialistCommuniCare Health Services Corporate is seeking a skilled Medicare Billing and Collections Specialist to join our Central Billing Office in Cincinnati, OH.The successful candidate will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities...

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...

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: 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 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...

Job Title: Medical Billing SpecialistJob Summary: DaMar Staffing is seeking a Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for accurately billing medical procedures and services. Your attention to detail and ability to analyze coding will ensure proper billing of claims.Key Responsibilities:Prepare and...

Job Title: Medical Billing SpecialistJob Summary: DaMar Staffing is seeking a Medical Billing Specialist to join our team. The ideal candidate will have experience in a healthcare financial setting and be proficient in medical terminology, especially radiological terms and procedures.Responsibilities:Prepare and submit billing data and medical claims to...

Job SummaryAn Indiana-based independent physician-owned radiology practice is seeking a Medical Billing Specialist to join their team. The ideal candidate will have 3+ years of experience in a healthcare financial setting or medical office setting, with a strong background in prior authorization and medical terminology.Key ResponsibilitiesPrepare and submit...

Job DescriptionWe are seeking a highly skilled Insurance Receivables Specialist to manage and process denied claims, maintain effective communication with insurance companies and clients, and investigate and resolve issues related to insurance payments.Key Responsibilities:Manage and process denied claims in a timely and efficient manner.Maintain effective...

Job Title: Accounts Receivable Specialist - Full TimeLocation: In OfficePay: Hourly $18.Competitive Benefits: Medical, Dental, Vision, STD, LTD, HSA (as applicable with Employer contribution), 401k Plan with employer match.Pinnacle Healthcare Revenue Solutions (PHRS) is a full Revenue Cycle Management (RCM) company focused on professional billing for...

Data Analysis and InsightsData Analysis and Insights Specialist will be responsible for collecting, cleaning, and managing large datasets from various sources including electronic health records (EHR), claims data, and other healthcare databases. The role requires ensuring data integrity, accuracy, and completeness. Claims Management Data ProcessingThe Data...