Claims Analyst Specialist
4 months ago
Description
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and follow-up of all outstanding patient accounts. This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list. Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance. Review line item denials and claim rejections for possible appeal and/or research for resubmission. Be proficient in the use of multiple payer software systems. The knowledge of billing codes including CPT, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats. The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow. Additional responsibilities include posting payments and denials to claims filed directly to a patient’s account via electronic posting and manual batch posting. Also required to process requested adjustments, complete daily reconciliation of bank deposits and payment posting. The Claims Analyst Specialist is responsible for entering daily posting numbers to accounting shared spreadsheet, processing refunds from credit balance report and completing insurance requests to include follow up. Interact with insurance carriers in all aspects of claim resolution. Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed.
Qualifications
Education/Certification: N/A
Experience:
Three years hospital billing in several financial classes preferred.
Two years recent hospital cash posting.
General accounting practices required
-
Claims Analyst
15 hours ago
Jacksonville, Florida, United States Paul Davis Restoration, Inc. Full timeJob Title: Claims AnalystJoin Paul Davis Restoration, Inc. as a Claims Analyst and be part of a dynamic team that makes a real impact in the lives of property owners. As a Claims Analyst, you will play a critical role in ensuring that our franchisees and insurance carriers meet their service level agreements.Job Summary:We are seeking a highly skilled and...
-
Claims Specialist
1 week ago
Jacksonville, Florida, United States Onslow Memorial Hospital Full timeJob SummaryOnslow Memorial Hospital seeks a skilled Claims Analyst Specialist to join our team. The successful candidate will be responsible for tracking, reviewing, and following up on outstanding patient accounts, ensuring timely and accurate payment from third-party payers.Key ResponsibilitiesReview and analyze patient accounting data, clearinghouse...
-
Insurance Claims Specialist
4 weeks ago
Jacksonville, Florida, United States Jobot Full timeInsurance Claims Specialist / Join Our TeamThis Jobot Job is hosted by: Jerome OuvierSalary: $80,000 - $100,000 per yearAbout Us:We are a leading national insurance provider dedicated to delivering exceptional service and support to our clients.Why Work With Us?We offer a competitive salary along with performance-based incentives.Our comprehensive benefits...
-
Claims Operations Analyst
3 months ago
Jacksonville, United States Fortegra Full timeThe Claims Operations Analyst is responsible for gathering, analyzing, specifying, and validating the business needs of stakeholders, including customers and end users. Serving as a crucial intermediary between business units and the IT team, this role aims to enhance claims operational efficiency and productivity. The Analyst will collaborate with key...
-
Claims Specialist
1 month ago
Jacksonville, United States Kelly Services, Inc. Full time#x. A 0; Whats next for you? This great job. Finding a job that fits your lifestyle isnt always easy. Thats where Kelly Professional & Industrial comes in. Were seeking Claims Specialist to work in a temporary to hire opportunity with a Top Heal Claims Specialist, Claims, Specialist, Insurance, Staffing, Training, Skills
-
Claims Examiner
5 days ago
Jacksonville, Florida, United States Jobot Full time{"title": "Claims Examiner", "description": "Job SummaryWe are seeking an experienced Claims Examiner to join our dynamic team. As a Claims Examiner, you will play a crucial role in analyzing and resolving a variety of insurance claims.Key ResponsibilitiesEvaluate and investigate insurance claims promptly and accurately, ensuring all necessary documentation...
-
Claims Specialist
2 weeks ago
Jacksonville, Florida, United States The Doctors Company Full time{"title": "Claims Administrative Specialist", "description": "Job SummaryThe Doctors Company is seeking a skilled Claims Administrative Specialist to support our Jacksonville, FL team. This role involves providing exceptional customer service, maintaining accurate records, and ensuring timely claim processing.Key ResponsibilitiesInterface with insured...
-
Claims Specialist
3 weeks ago
Jacksonville, Florida, United States Kelly Services Full timeJob SummaryWe are seeking a skilled Claims Specialist to join our team at Kelly Services. As a Claims Specialist, you will be responsible for processing complex claims, resolving pending claims, and utilizing multiple applications simultaneously.Key ResponsibilitiesProcess complex claims requiring investigation and codingResolve pending claims in a timely...
-
Claims Operations Specialist
3 hours ago
Jacksonville, Florida, United States LotSolutions, Inc. Full timeJob Title: Claims Operations AnalystJob Summary:The Claims Operations Analyst plays a crucial role in enhancing claims operational efficiency and productivity. This position involves gathering, analyzing, and specifying business needs of stakeholders, including customers and end users. The Analyst will collaborate with key stakeholders to collect and...
-
Insurance Claims Specialist
13 hours ago
Jacksonville, Florida, United States Southeast Orthopedic Specialists Full timeJob Title: Insurance Follow-Up RepresentativeJoin Southeast Orthopedic Specialists, a regional leader in musculoskeletal medicine, as we continue to grow and expand our services. We are seeking a highly skilled Insurance Follow-Up Representative to join our Central Business Office in Jacksonville, FL.Job Summary:We are looking for a detail-oriented and...
-
Claims Specialist
3 weeks ago
Jacksonville, Illinois, United States Kelly Services, Inc. Full timeAbout the OpportunityWe are seeking a skilled Claims Specialist to join our team at Kelly Services, Inc. as a temporary to hire opportunity with a Top Healthcare organization.Key ResponsibilitiesAssist in the processing and investigation of insurance claimsCommunicate with clients and stakeholders to resolve claim issuesCollaborate with cross-functional...
-
Claims Processor 1
2 weeks ago
Jacksonville, Florida, United States First Coast Service Options, Inc. Full timeJob SummaryWe are seeking a highly skilled Claims Processor 1 to join our team at First Coast Service Options, Inc. as a Healthcare Claims Specialist. In this role, you will be responsible for keying paper claims, evaluating and correcting online edits, and accessing and applying online instructions for the proper resolution of claims suspensions.Key...
-
Claims Specialist
1 month ago
Jacksonville, United States Kelly Services Full time $16Job DescriptionJob DescriptionWhat’s next for you?This great job.Finding a job that fits your lifestyle isn’t always easy. That’s where Kelly® Professional & Industrial comes in.We’re seeking Claims Specialist to work in a temporary to hire opportunity with a Top Healthcare Client in Jacksonville, IL. We’re here to help you find something great...
-
Claims Operations Specialist
1 day ago
Jacksonville, Florida, United States LotSolutions, Inc. Full timeJob SummaryLotSolutions, Inc. is seeking a highly skilled Claims Operations Analyst to join our team. As a key member of our operations team, you will play a crucial role in enhancing claims operational efficiency and productivity.Key ResponsibilitiesCollaborate with stakeholders to collect and consolidate user requirements, ensuring the development of...
-
Claims Specialist
4 weeks ago
Jacksonville, United States Kelly Services Full timeWhat’s next for you? This great job. Finding a job that fits your lifestyle isn’t always easy. That’s where Kelly® Professional & Industrial comes in. We’re seeking Claims Specialist to work in a temporary to hire opportunity with a Top Healthcare Client in Jacksonville, IL. We’re here to help you find something great that works for...
-
Claims Examiner
2 weeks ago
Jacksonville, Florida, United States Jobot Full time{"Job Title": "Claims Examiner", "Job Description": "Job SummaryWe are seeking an experienced Claims Examiner to join our dynamic team. As a Claims Examiner, you will play a crucial role in analyzing and resolving insurance claims. Your strong analytical skills, excellent negotiation skills, and high level of organization will enable you to manage complex...
-
Compensation Claims Analyst
4 weeks ago
Jacksonville, Florida, United States Orbis Inc Full timeJob OverviewPosition: Workers Compensation SpecialistLocation: RemoteThis role provides essential support to the Naval Sea Systems Command (NAVSEA) in the area of employee compensation management.NAVSEA is the central entity within the Department of Navy responsible for the design, engineering, integration, construction, and procurement of U.S. Naval vessels...
-
Insurance Claims Examiner
2 weeks ago
Jacksonville, Illinois, United States Kelly Services, Inc. Full timeAbout the OpportunityThis great job is a temporary to hire opportunity with a Top Health Insurance company. We are seeking a Claims Specialist to work with our team. As a Claims Specialist, you will be responsible for handling claims and providing excellent customer service to our clients.Key Responsibilities- Handle claims and resolve issues in a timely and...
-
Auto Liability Claims Specialist
4 weeks ago
Jacksonville, Florida, United States Stillwater Insurance Services, Inc. Full timePosition OverviewAuto Liability Claims SpecialistJoin our dedicated and collaborative team at Stillwater Insurance Services, Inc., where your efforts will be recognized and appreciated.About Us:As a leading national insurance provider, we offer a comprehensive range of insurance products and services. Our mission is to be the most esteemed insurance provider...
-
Claims Resolution Specialist
7 days ago
Jacksonville, United States Medix Full timeJob DescriptionJob DescriptionJob Duties:Follows-up on all claims that have been billed out in a timely and effective manner.Work all claims to a zero balance resolution through a compilation of options such as interactingwith the payer directly, using the payer portal, formally appealing, and/or consideration for appropriate adjustment.Verifies all charges...