Medical Claims Specialist
4 weeks ago
Job Summary: We are seeking a skilled Medical Claims Specialist to join our team at Behavioral Health Network. As a Medical Claims Specialist, you will be responsible for reviewing and submitting accurate claims to all payers for BHN providers.
Key Responsibilities:
- Effectively manage a portfolio of assigned claim types
- Update and maintain claim files to ensure complete and accurate records
- Review claims to ensure that required modifiers and all fields are present before approval
- Accurately batch and approve assigned claim batches
- Effectively review and reprocess rejected claims on a daily basis
- Review the acknowledgment folder daily to verify that acknowledged claims have been accepted
Requirements:
- 1 year of experience in a similar role
- Strong analytical and problem-solving skills
- Ability to work in a fast-paced environment
About Us: Behavioral Health Network is a leading provider of mental health and substance abuse services. We are committed to providing high-quality care to our patients and are seeking a skilled Medical Claims Specialist to join our team.
-
Property Claims Specialist
4 weeks ago
Springfield, Illinois, United States EAC Claims Solutions LLC Full timeAt EAC Claims Solutions LLC, we are dedicated to resolving claims with integrity and efficiency. Our team of experts is committed to delivering exceptional service while upholding the highest standards of professionalism and compliance.Position Overview:We are seeking a skilled Property Claims Specialist to join our team. As a Property Claims Specialist, you...
-
Medical Claims Specialist
4 weeks ago
Springfield, Illinois, United States Ozark Anesthesia Associates, Inc. Full timeJob SummaryMedical Billing SpecialistWe are seeking a detail-oriented Medical Billing Specialist to join our team at Ozark Anesthesia Associates, Inc. The ideal candidate will have previous experience in medical billing or related fields and possess strong organizational skills, with the ability to prioritize and multitask.Key ResponsibilitiesProcess and...
-
Senior Claims Specialist
1 month ago
Springfield, Illinois, United States American National Full timeSenior Claims Specialist Opportunity American National is seeking a highly skilled Senior Claims Specialist to join our dynamic team. As a key member of our claims department, you will be responsible for handling complex property claims, conducting thorough investigations, and working closely with policyholders to ensure a fair and efficient claims...
-
Healthcare Claims Denials Specialist
4 weeks ago
Springfield, Illinois, United States CenterWell Home Health Full timeAbout the RoleAs a Healthcare Claims Denials Specialist at CenterWell Home Health, you will play a crucial role in ensuring the timely reimbursement of receivables and resolving claims that have not passed payer edits. Your expertise in medical claims processing will be instrumental in analyzing each agency's outstanding monthly accounts receivable and...
-
Property Claims Manager
1 week ago
Springfield, Illinois, United States American National Full time{"Senior Property Claims Specialist American National seeks an experienced claims professional to handle complex property claims. In this role, you will investigate and evaluate claims, negotiate settlements with policyholders, and interpret policy coverage. Your keen analytical skills and strong negotiation abilities will enable you to navigate challenging...
-
Medical Billing Specialist
4 weeks ago
Springfield, Illinois, United States Behavioral Health Network Full timeThe Behavioral Health Network is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for analyzing and resolving insurance claim denials across a broad spectrum of Behavioral Health and Substance Use Disorder programs.The ideal candidate will have a strong background in medical billing,...
-
Medical Billing AR Specialist
4 weeks ago
Springfield, Illinois, United States Behavioral Health Network Full timeJob SummaryThe Medical Billing AR Specialist is responsible for analyzing and resolving insurance claim denials across Behavioral Health and Substance Use Disorder programs at BHN.Key Responsibilities:Follow up on assigned claims to ensure timely reimbursement and bring claims to closure.Review denied claims for accuracy and investigate claims with no payer...
-
Claims Examiner
4 weeks ago
Springfield, Illinois, United States Fairfax County Government Full timeJob Summary:Fairfax County Government seeks a highly skilled Claims Examiner to administer the county's property and general liability, workers' compensation, and professional liability self-insurance/insurance claims programs.Key Responsibilities:Investigate and resolve complex claims at an advanced level.Provide technical resource support to claims staff...
-
Insurance Claims Investigator
4 weeks ago
Springfield, Illinois, United States CoxHealth Full timeAbout the RoleCoxHealth is seeking a skilled Insurance Claims Investigator to join our team. As an Insurance Claims Investigator, you will be responsible for investigating unpaid claims for physician charges, reviewing coding and medical necessity denials, and processing corrections to re-file for payment. You will also contact insurance companies to follow...
-
Healthcare Claims Examiner
4 weeks ago
Springfield, Illinois, United States System One Holdings, LLC Full timeSystem One Holdings, LLC is seeking a skilled Healthcare Claims Examiner to support a leading health insurance customer.The ideal candidate will review and adjudicate paper/electronic claims, utilizing automated system processes to send pending claims for accurate completion according to medical policy, contracts, policies, and procedures.Key...
-
Experienced Property Resolution Claim Specialist
4 weeks ago
Springfield, Illinois, United States Travelers Insurance Full timeAbout the Role:Taking care of our customers, our communities, and each other is at the heart of our business. As a Property Claim Representative at Travelers Insurance, you will play a vital role in providing assurance to our customers during life's challenging moments.Key Responsibilities:Provide quality claim handling throughout the claim life cycle while...
-
Medical Imaging Specialist
4 weeks ago
Springfield, Illinois, United States OneStaff Medical Full timeJob Opportunity:We are seeking a skilled Medical Imaging Specialist to join our team at OneStaff Medical. As a Travel Radiologic Technologist, you will have the opportunity to work in various healthcare settings and gain valuable experience.Key Responsibilities:Operate medical imaging equipment to produce high-quality imagesEnsure patient safety and comfort...
-
Medical Support Specialist
4 weeks ago
Springfield, Illinois, United States Northwest Medical Homes, LLC Full timeWe are seeking a highly motivated and detail-oriented Medical Support Specialist to join our team at Northwest Medical Homes, LLC. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and supporting our clinical staff.Key Responsibilities:Assist with vital signs, injections, and minor proceduresProvide...
-
Medication Care Specialist
4 weeks ago
Springfield, Illinois, United States Sunrise Senior Living Full timeJob Title: Medication Care SpecialistWe are seeking a skilled Medication Care Specialist to join our team at Sunrise Senior Living. As a Medication Care Specialist, you will be responsible for providing high-quality care and services to our residents by administering medication and treatments in a safe and organized manner.Responsibilities:Administer...
-
Medical Assistant
4 weeks ago
Springfield, Illinois, United States McKenzie-Willamette Medical Center Full timeJob Summary: As a key member of the McKenzie-Willamette Medical Center team, this Medical Assistant will provide expert cardiac care support to our cardiologists. The ideal candidate will have a strong background in medical office procedures and a passion for delivering exceptional patient care.Responsibilities include escorting patients to rooms, assisting...
-
Medication Care Specialist
4 weeks ago
Springfield, Illinois, United States Sunrise Senior Living Full timeJob Title: Medication Care SpecialistWe are seeking a skilled Medication Care Specialist to join our team at Sunrise Senior Living. As a Medication Care Specialist, you will be responsible for providing high-quality care and services to our residents by administering medication and treatments in a safe and organized manner.Key Responsibilities:Administer...
-
Medical Support Specialist
4 weeks ago
Springfield, Illinois, United States Concentra Full timeWe are seeking a highly skilled Medical Support Specialist to join our team at Concentra. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and supporting our clinical team.The ideal candidate will have a strong background in medical procedures and terminology, as well as excellent communication and...
-
Medical Laboratory Specialist
4 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Springfield Clinic is seeking a skilled Medical Laboratory Specialist to join our team. As a Medical Laboratory Specialist, you will be responsible for performing a variety of laboratory tests in microbiology, clinical chemistry, hematology, serology, coagulation, and urinalysis.Key ResponsibilitiesPerform routine and special test procedures...
-
Medical Support Specialist
1 month ago
Springfield, Illinois, United States Concentra Full timeJob SummaryConcentra is seeking a Medical Support Specialist to join our team. As a Medical Support Specialist, you will play a vital role in providing exceptional care to our patients.This is a full-time position that requires efficient and accurate delivery of one-on-one patient care while thriving in a fast-paced environment.ResponsibilitiesPerform...
-
Diagnostic Imaging Specialist
4 weeks ago
Springfield, Illinois, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging SpecialistJob Summary:We are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical. As a Diagnostic Imaging Specialist, you will be responsible for operating sonographic scanners to create images of patients' internal organs.Responsibilities:Operate sonographic scanners to create images of...