Claims Specialist
3 weeks ago
CCI Health Services is seeking a Claims Specialist to support the financial operations of our healthcare organization. The successful candidate will be responsible for ensuring that claims are processed accurately and in a timely manner, in compliance with all applicable regulations and guidelines.
Key Responsibilities- Review and analyze encounters to ensure completeness and accuracy.
- Process claims in a timely manner, adhering to a standard of claim submission within five days from the date of service.
- Address any claims that are rejected by the clearinghouse or payer, and resubmit with corrections.
- Communicate with health centers and support center personnel to effectively challenge denials and reverse the denial decision.
- Exhibit knowledge of Commercial Indemnity guidelines in the processing, adjudication, and payment of claims.
- Maintain current understanding and application of all Medicare and state Medicaid compliance requirements.
- Minimum High School diploma, an AA or BS degree preferred or commensurate experience.
- At least 2 years of relevant work experience in a Physician Practice/Hospital-based Physician Center/FQHC setting or equivalent combination of training and experience.
- Strong attention to detail and customer service skills.
- Familiarity with hospital and or physician coding.
- Ability to work in a fast-paced, controlled/enclosed, and complex environment.
Health, Dental, and Vision for you and your family. Paid Time Off (PTO), 9 paid holidays, plus mental health days. 403B retirement plan with an employer match up to 6%, and tuition reimbursement.
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Financial Clearance Specialist
4 weeks ago
Silver Spring, Maryland, United States Children's National Hospital Full timeJob Title: Financial Clearance SpecialistChildren's National Hospital is seeking a highly skilled Financial Clearance Specialist to join our Patient Access team. As a key member of our team, you will play a critical role in ensuring the financial integrity of our patients' access to care.Key Responsibilities:Run and identify areas of review and complete...
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Senior Collections Representative
3 weeks ago
Silver Spring, Maryland, United States Children's National Health System Full timeThe Clinical Denial Specialist will play a critical role in ensuring timely and accurate reimbursement for high-balance cases at Children's National Health System. This position will be responsible for monitoring and researching cases in-house and on the discharged not final billed report to mitigate potential denials and ensure claims are clean before...
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Medical Malpractice Insurance Specialist
4 weeks ago
Silver Spring, Maryland, United States Diedre Moire Corp. Full timeMedical Malpractice Insurance Underwriting RoleAt Diedre Moire Corp., we are seeking a skilled Medical Malpractice Insurance Underwriter to join our team. As a key member of our underwriting department, you will be responsible for evaluating and managing medical malpractice insurance risks for our clients. Your expertise will help us provide top-notch...
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Administrative Support Specialist
4 weeks ago
Silver Spring, Maryland, United States Montgomery County Language Minority Full timeJob OverviewWe are seeking a highly skilled and detail-oriented Administrative Assistant to join our team at Montgomery County Language Minority. The successful candidate will provide high-level administrative support to our clinic processes, ensuring seamless operations and exceptional patient care.Key ResponsibilitiesProvide administrative support to...
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Administrative Support Specialist
4 weeks ago
Silver Spring, Maryland, United States Montgomery County Language Minority Full timeJob OverviewThe Administrative Assistant provides high-level administrative support to clinic processes related to Medicaid, Medicare, recruitment, onboarding, and other Human Resources duties. This role requires a high level of critical thinking and independent judgment.Key ResponsibilitiesPerform general office duties to assist in clinic...
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Pediatric Care Specialist
3 weeks ago
Silver Spring, Maryland, United States Mary's Center Full timeAbout the Role:The Pediatrician will function as one of the primary care pediatric providers for Mary's Center. This position is open at our clinics in Silver Spring and Adelphi, Maryland.Key Responsibilities:Provide quality primary wellness and sick care to Mary's Center pediatric patients in an efficient mannerPractice medicine within quality standards...
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Family Medicine Physician
3 weeks ago
Silver Spring, Maryland, United States Mary's Center Full timeJob Summary We are seeking a highly skilled Family Medicine Physician to join our team at Mary's Center. The successful candidate will be responsible for providing quality primary wellness and sick care to adult and pediatric patients in an efficient manner. Key ResponsibilitiesProvide quality primary wellness and sick care to Mary's Center adult and...
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Dental Claims Specialist
3 weeks ago
Spring Hills, Texas, United States Euronet Full timeClaims Dispute Resolution AnalystEuronet Worldwide, a leading ATM management company, is seeking a skilled Claims Dispute Resolution Analyst to join our team in Spring, TX.The successful candidate will be responsible for overseeing the processing of customer transaction disputes and deposit disputes for our financial institution clients.Key...
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Logistics Freight/Transportation Specialist
1 month ago
Silver Spring, United States DISH Network Full timeEchoStar has an exciting opportunity within our Hughes Network Systems division for a Logistics Freight/Transportation Specialist. This person will be responsible for helping to improve the logistics program by working with carriers, forwarders, brokers & 3PLs to provide options to optimize transit times with high reliability while minimizing cost. This role...
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Bilingual Admissions Specialist
1 week ago
Silver Spring, United States Centronia Full timeJob Title : Bilingual Admissions Specialist Program : Finance Division : Admissions Classification : Full-Time - Non-Exempt Location : Silver Spring/ Takoma Park Wage: $20.48 Reports to : Admissions Director Role Overview: As a Bilingual Admissions Specialist, you'll be the crucial bridge between CentroNa, the families we support, and regulatory...
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Medical Billing Specialist
4 weeks ago
Spring Valley, Nevada, United States Silver Spring Healthcare Services Full timeJob Title: Medical Billing SpecialistJob Description:Silver Spring Healthcare Services is seeking a highly organized and detail-oriented Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for processing, monitoring, and collecting of HMO, Medicare, Medicaid, and other commercial insurance claims by payer...
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Risk Management Specialist
4 weeks ago
Spring Valley, Nevada, United States Puzzle HR Full timeJob Title: Risk Management SpecialistWe are seeking a highly skilled Risk Management Specialist to join our team at Highview National Insurance. As a Risk Management Specialist, you will be responsible for conducting risk management audits, loss control site visits, and producing hazard assessment reports with recommendations for improvement.Key...
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Medical Accounts Receivable Specialist
3 weeks ago
Spring Hill, Florida, United States Bay Dermatology and Cosmetic Full timeJob Title: Medical Accounts Receivable SpecialistWe are seeking a highly skilled Medical Accounts Receivable Specialist to join our team at Bay Dermatology and Cosmetic. As a key member of our finance department, you will be responsible for compiling data, computing charges, and preparing invoices.About Us:Bay Dermatology and Cosmetic has been providing...
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Dental Patient Care Navigator
4 months ago
Silver Spring, United States Mary's Center Full timeMary's Center is committed to promoting diversity, equity and inclusion (DEI) within our organization and the communities we serve.We embrace diversity of experiences, ideas, and individuals, and seek to bring a diverse group of candidates to the table. Important Note: Mary's Center is mandating the COVID-19 vaccine + booster for all staff.Position Summary ...
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Insurance Account Specialist
4 weeks ago
Reeds Spring, Missouri, United States Maureen Darby - State Farm Agent Full timeAs a key member of the Maureen Darby - State Farm Agent team, you will play a vital role in helping customers manage the risks of everyday life, recover from the unexpected, and realize their dreams. Our team is dedicated to providing exceptional service and support to our customers, and we are seeking a highly motivated and organized individual to join our...
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Dermatology Coding and Billing Specialist
4 weeks ago
Spring Hill, Florida, United States Bay Dermatology and Cosmetic Full timeJob SummaryWe are seeking a highly skilled Dermatology Coding and Billing Specialist to join our team at Bay Dermatology and Cosmetic. As a key member of our revenue cycle management team, you will be responsible for accurately coding dermatology procedures and services, submitting insurance claims, and managing the billing process.Key...
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Medical Billing and Coding Specialist
4 weeks ago
Spring Hill, Florida, United States Bay Dermatology and Cosmetic Full timeJob Title: Certified Medical Biller & CoderAt Bay Dermatology and Cosmetic, we are seeking a highly skilled Certified Medical Biller & Coder to join our team. As a key member of our revenue cycle team, you will be responsible for compiling data, computing charges, and preparing invoices. You will also code diagnoses and procedures utilizing the coding...
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Senior Benefits Specialist
4 days ago
Spring, United States Robert Half Full timeJob DescriptionJob DescriptionA company in The Woodlands is looking for a contact Sr. Benefits Specialist to help fill in for an employee leave. Candidates will need a minimum of 5+ years of benefits experience as well as experience using Workday. If you are interested and qualified in this role, please apply today! Position SummaryThe Senior Benefits...
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Office Asst II
2 weeks ago
Silver Spring, United States MedStar Health Full timeGeneral Summary of PositionPerforms a variety of assigned clerical and patient care duties essential to the daily operations of the assigned department. Duties may vary by department and/or site and may include: patient registration, patient scheduling, coordinating the physician order re-certification process, insurance verification and coordination of...
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Office Asst II
2 weeks ago
Silver Spring, United States Medstar Full timeGeneral Summary of Position Performs a variety of assigned clerical and patient care duties essential to the daily operations of the assigned department. Duties may vary by department and/or site and may include: patient registration, patient scheduling, coordinating the physician order re-certification process, insurance verification and coordination of...
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Associate Employment Counsel
4 weeks ago
Spring, Texas, United States Waste Connections Full timeJob TitleAssociate Employment CounselJob SummaryWaste Connections is seeking a highly motivated and results-oriented Associate Employment Counsel to join its Legal Department in The Woodlands, TX. This specialist in labor and employment law will provide a wide range of employment-related legal services and advice to various departments and business units...
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Biomechanical Engineer Specialist
4 weeks ago
Spring Valley, Nevada, United States Robson Forensic Full timeJob Opportunity: Biomechanical EngineerWe are seeking a highly skilled Biomechanical Engineer to join our team at Robson Forensic. As a Biomechanical Engineer, you will apply scientific and engineering principles to investigate incidents involving claimed injuries or fatalities.Key Responsibilities:Investigate incidents involving claimed injuries or...
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Service Technician
4 weeks ago
Spring Valley, California, United States O'Reilly Auto Parts Full timeJob Title: Installer Service SpecialistJob Summary:The Installer Service Specialist is a key member of our team, responsible for providing exceptional customer service and ensuring the timely delivery of parts and services to our professional customers. This role requires strong technical knowledge of automotive repairs and excellent communication skills.Key...
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Patient Service Representative
4 weeks ago
Big Spring, Texas, United States IASIS Healthcare Full timeJob SummaryThis role is part of the administration team and is responsible for ensuring smooth day-to-day operations in the SMG physician practice. The Patient Service Specialist must maintain a professional, positive manner when interacting with patients.Key Responsibilities Answer calls and route telephone calls appropriately Provide routine information to...
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Insurance Policy Specialist
4 weeks ago
Spring Valley, California, United States State Farm Insurance Full timeState Farm Insurance **Job Summary:** As an Account Associate at State Farm Insurance, you will play a vital role in providing exceptional customer service and ensuring customer satisfaction. **Key Responsibilities:** * Assist customers with their insurance needs by providing accurate and timely information * Process policy changes and updates in the...
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Total Rewards Manager
3 months ago
Spring Grove, United States Affinity Executive Search Full timeTotal Rewards ManagerPosition Summary:The Total Rewards Manager is responsible for leading the HR Department in aligning business objectives with the competitive company benefits, compensation, and rewards. This position will seek to maintain relationships with all departments to best service them in handling of worker s compensation claims and other related...
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Spring Valley, New York, United States FutureRecruit Full timeJob Title: Underwriter (Workers' Compensation)We are seeking an experienced Underwriter (Workers' Compensation) to join our team in Spring Valley, NY. As an Underwriter, you will be responsible for underwriting and servicing of both new business submissions and renewals with a focus on profitability.Key Responsibilities:Underwrite and service new business...