Claims Specialist jobs

Medlytix —Stow, OH3

You will process medical (physician and hospital) bills that involve motor vehicle accidents, workers' comp, and third-party claims.

EqualizeRCM Services —Remote1.7

Must have a team player mindset with adaptability to monitor own work. Evaluates patient’s financial status and establishes budget payment plans; processes…

ARMStrong Receivable Management —Remote

Complete activities such as phone calls, internet searches, third party report reviews, etc., to obtain reliable contact information.

FMA Alliance, Ltd (Willowbrook Mall Area) —Texas2.3

401k (with employer matching for part-time employees). Maintain professional, courteous treatment of clients, co-workers, and consumers.

PRESTIGE CONSULTING —Remote3.5

Monitor the timely filing of claims. Process account adjustments and credit balance refunds. Provide expertise on Explanation of Benefits (EOBs), electronic…

Equip Health —Remote

About the role The Revenue Cycle Specialist will be responsible for understanding the claim entry and submission process, completing the charge entry of patient…

Selective Insurance Company of America —Remote3.2

Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims.

BioMatrix Specialty Pharm —United States

Collection calls and/or correspondence to payers for status of submitted claims. Maintains strictest confidentiality of patient information in compliance with…

Hope Community Resources, Inc. —Anchorage, AK3.6

Bachelor’s degree in Human Resources or related field required. Completes HRIS data entry for staff post-hire, including changes in benefit eligibility status…

US Acute Care Solutions —United States3.4

Understands and follows rigorous state and health plan requirements, determines task priorities and escalates enrollment requiring manager approval or special…

OrthoAlliance MSO, LLC —Ohio

Familiar with Phreesia Dashboard front desk check in process preferred. Effective positive interpersonal and customer relation skills via telephone and face-to…

AR SNF Solutions —Remote

Efficient in follow-up on outstanding claims. SNF Solutions is a nationwide, full-service billing and consulting firm focused exclusively on the unique needs of…

Optum —Dallas, TX3.3

Determine whether additional appeal or grievance reviews are required (e.g., medical necessity), and whether additional appeal rights are applicable.

CVS Health —Sacramento, CA3.2

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

Solventum —Texas2.9

Performs extended resolution activities on more extensive exceptions and discrepancies including engaging parties such as Finance Department, National Contact…

Spectrum Billing Solutions —Remote2

Complete provider credentialing and contract applications with third-party carriers and government health plans.

Omni Hotels & Resorts —Omaha, NE3.7

Individual will work towards resolving problems, answering inquiries, maintain customer data, provide complete documentation as need, and providing instructions…

SENTA Partners —Atlanta, GA2.7

Monitor claims payments for Copay programs. Review submitted claims and aging claims and identify claims for reconsideration/appeal.

Codemax Medical Billing —Palmdale, CA1.8

Participates in internal training sessions and provides insights to develop training materials based on review findings.