Medicare Claims Specialist

Job Summary:As a key member of the Sarasota Memorial Health Care System team, the Medicare Claims Specialist will be responsible for ensuring timely and accurate reimbursement for Medicare accounts. This involves performing billing collection functions, reviewing and processing electronic claims, and analyzing and correcting claims via various software...

Job OverviewPOSITION SUMMARYInsight Global is in search of a meticulous and seasoned professional to join a healthcare organization as a Claims Processing and Revenue Cycle Specialist. This role involves the critical task of ensuring that all claims are submitted accurately and within designated timelines, as well as managing denials and appeals...

Job OverviewWe are seeking a meticulous and skilled individual to join our healthcare team as a Claims Processing and Revenue Cycle Specialist.Key ResponsibilitiesEnsure timely and accurate submission of all claims.Manage denials and appeals effectively.Collaborate with major payers and utilize their electronic portals.Handle special claims and bill...

Job OverviewWork Schedule: Monday to Friday with flexible hours, starting between 7:00 AM and 8:30 AM, including a 30-minute lunch break and an 8-hour workday. There is also an option to work four 10-hour days.Compensation: Starting at $18 per hour, commensurate with experience. Essential Qualifications:High School Diploma or GEDExperience in hospital...

About the RoleTrustBridge, Inc. is seeking a skilled Medicare Billing Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for ensuring accurate and timely billing and collections for our patients.Key ResponsibilitiesProcess patient billing and collections in accordance with established policies and...

Job SummaryCVS Health is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for reviewing and reworking complex medical and hospital claims for our rework project department.Key ResponsibilitiesPerform detailed analysis and rework complex claim issuesWork closely with other members of...

Join FCCI Insurance GroupAre you a skilled Claims Resolution Specialist seeking a fresh challenge? Become a vital part of our organization that prioritizes inclusivity and fosters ongoing education and professional growth.Key Responsibilities:Perform thorough and prompt investigations of liability claimsManage a portfolio of claims in accordance with...

Medical Billing and Collections SpecialistContract-to-hire (intention to convert as permanent after 6 months)Schedule: M-F, 7am-4pm OR 8am-5pm ESTSarasota, FLInsight Global is looking for a Medical Billing and Collections Specialist to join our client's healthcare organization in Sarasota, FL. This is a full-time position with flexible starting hours and the...

Medical Billing and Collections SpecialistContract-to-hire (intention to convert as permanent after 6 months)Schedule: M-F, 7am-4pm OR 8am-5pm ESTSarasota, FLInsight Global is looking for a Medical Billing and Collections Specialist to join our client's healthcare organization in Sarasota, FL. This is a full-time position with flexible starting hours and the...

Quality Assurance Specialist at AlightThe Quality Assurance Specialist at Alight is responsible for ensuring exceptional service quality by evaluating and scoring customer interactions. Utilizing Alight's advanced recording tools, this role focuses on enhancing agent performance through detailed assessments. Key responsibilities include monitoring calls,...

Description : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of...

Claims Advocate Florida, USA Req #2318 Monday, July 22, 2024 Alliant Insurance Services is one of the nation's largest and fastest-growing insurance brokerage and consulting firms. We operate through a network of specialized national platforms and local offices to offer our clients a comprehensive portfolio of solutions built on innovative thinking and...

Overview:Summary:The Insurance Claims Auditor is responsible for evaluating processed medical insurance claims and assessing customer service interactions to ensure adherence to relevant policies, procedures, and regulations. Comprehensive benefits package including Health, Dental, Vision, and Life Insurance, along with Paid Time Off and Paid...

Job SummaryWe are seeking a highly experienced Claims Adjuster - Litigation Specialist to join our team at Westgate Resorts. As a key member of our claims department, you will be responsible for managing litigated claims, analyzing reserves, and negotiating settlements.Key Responsibilities:Receive, investigate, and resolve claims in a timely and efficient...

Job SummaryAlacrity Solutions is seeking an experienced Automotive Mechanical Inspector to join our team of independent contractors. As a key member of our claims team, you will be responsible for traveling to repair facilities in your area to verify mechanical failures.Key ResponsibilitiesConduct thorough inspections of vehicles to verify mechanical...

Put your Insurance Experience to work – FROM HOME! At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home. As we say – retire from the office but not from work. Our unique platform provides...

Job OverviewDSE is in search of a dedicated Insurance Verification Specialist to manage the posting of insurance and patient payments efficiently.Key ResponsibilitiesCollaborate effectively with fellow billing professionals to ensure seamless operations.Exhibit strong verbal and written communication abilities.Demonstrate reliability and multitasking...

Job OverviewDSE is looking for a dedicated Insurance Verification Specialist to manage the posting of insurance and patient payments effectively.Key ResponsibilitiesCollaborate efficiently with fellow billing professionals.Exhibit strong verbal and written communication abilities.Demonstrate reliability and multitasking capabilities.Possess proficiency in...

Job OverviewDSE is looking for a dedicated Insurance Verification Specialist to manage the posting of insurance and patient payments effectively.Key ResponsibilitiesCollaborate efficiently with fellow billing professionals.Exhibit strong verbal and written communication abilities.Demonstrate reliability and multitasking capabilities.Possess computer...

Support in the reconciling, correction, and/or completion of contractual adjustments, insurance refunds, patient refunds, and other department specific duties as assigned. Other duties may include, but are not limited to, assistance with retraction analysis, government overpayment reporting, log balancing, Medicare Bad Debt Maintenance, and legal support...