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Medical Claims Specialist Jobs

Medical Billing A/R Specialist - Pending Claims - Remote | Wfh
By Get It Recruit - Healthcare At Richardson, TX, United States

To foster revenue generation through proactive management of outstanding medical claims, we seek an enthusiastic professional dedicated to ensuring payment resolution. Embracing our company's ...

Medical Claims Resolution Specialist (Remote)
By MultiPlan Inc. At , Remote $19.83 an hour
JOB REQUIREMENTS (Education, Experience, and Training):
Knowledge of general office operations and/or experience with standard medical insurance claim forms
Address counter-offers received and present proposal for resolution while adhering to client guidelines and policy and procedures
Provider education to providers online provider portal services available for proposal review and approval
Good Communication (verbal, written and listening) teamwork, negotiation and organizational skills
Ability to use software and hardware related to job responsibilities, including MS Word and MS Excel spreadsheets and database software
Clinical Claims Specialist Medical
By Wellpath At United States
5 years in a correctional healthcare setting, hospital management, risk management, insurance, claims management, or similar experience required.
Experience with data management, statistics, analytics, process improvement methodology, and PC applications preferred.
Patient care, legal or claims management experience is preferred.
Take on special projects involving data gathering, report preparation, trend management, and escalation related to risk management.
Bachelor's degree is preferred. Health administration, management, business administration, claims management, insurance, or related field preferred.
Previously demonstrated ability and experience in providing leadership for self-directed work teams.
Medical Cost Negotiator & Claims Specialist
By Health Advocate At , Remote $20 - $24 an hour
Reports Settlement results within the system and Statistics to Management
Send and Acknowledge receipt of Contracts from Consumers/Members and Providers
Provide benefit and claims consultation and support when appropriate to all internal departments.
Claims or Call center experience preferred
Bachelor's Degree or applicable work experience
Ability to interpret Explanation of Benefits (EOBs).
Medical Claims Specialist Jobs
By Privia Health At United States
Self-starter with great time management skills
Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives
Education: High School diploma preferred
Experience: 3+ years medical claims experience in a physician medical billing office; Medicaid experience preferred.
Must understand Explanation of Benefit (EOB) statements
Preference for experience working with athenaHealth’s suite of tools
Medical Claims Specialist-Unpostables Jobs
By Privia Health At United States
Experience in a people management function preferred
Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
High School Graduate, Medical Office training certificate or relevant experience preferred.
3+ years experience in a medical billing office.
Strong preference for experience working with athenaHealth’s suite of tools
Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
Claims Processing Specialist / Healthcare Medical Claims
By Charter Global At United States
Job Title: Client Relationship Manager / Medical Claims Processing
Job Location: Baltimore, MD (Remote)
Job Duration: 10 Months CTH
5 years with medical customer service involvement
1-2 medical claims processing background
Do not need a Salesperson here, need a customer engineer background with Healthcare claims is a must
Medical Claims Specialist Jobs
By Texas Children's Hospital At , Houston, 77001, Tx
MCO experience and Texas Medicaid experience strongly preferred
3 Years of claims processing experience required
Process group queues content at 98% average, within 30 days of receipt.
Review and process pended claims, within 5 days of initial review.
Respond to internal inquiries within 48 hours of receipt. Review, investigate and provide accurate and efficient follow-up.
Ensure Special Projects are completed accurately, in a timely and efficient manner.