Medical Claims Specialist Jobs
Examines and resolves medical claims, maintains quality customer service, and ensures legal compliance. Duties and Responsibilities: Documents medical claims Establishes proof of loss Approves or denies documentation Responds to customer inquiries Prepares reports Seeks additional education through industry opportunities Other duties and responsibilities as requestied Apply TODAY!...
The Medical Billing Specialist reports directly to the Medical Service Revenue Manager. The Medical Billing Specialist is responsible for preparing and submitting timely and accurate insurance claims to third party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and adjustments are appropriately applied to ...
POSITION TITLE: Provider Education Specialist POSITION PURPOSE To conduct provider education and trainings in person, on site, in group settings, and/or via electronic media such as webinars, video conferencing or other technology. To develop and maintain provider educational materials for all PHC lines of business and programs. Ensure consistent and accurate provider information and education ...
Company: -MEDiSERV offers a flexible work environment. We have a caring management team, which are hands on and here to help. We have company outings and fundraisers. There are company lunches/picnics, and competitions. We have quarterly newsletters which keep all employees up to date on what is happening within our company and an all-around positive outlook every day. We have an excellent benefi...
Our client improves the quality of patient care with their internet-based product suite which delivers clinical and financial tools to doctors, eliminates paper charts, and enhances data sharing through integration and revolutionary interface terminology. They are seeking a Medical Claims Specialist to work within the Revenue Cycle Management department to assist in the creation and submission of ...
Medical Claims / Billing Specialist (Virginia Beach) Virginia Beach based DME Company seeking an experienced, Medical Claims Specialist to join our growing team. You must be dependable and a detailed multi-tasker. Must have 3+ yrs experience in Authorizations, Medical Billing and Claims Processing, preferably in Durable Medical Equipment. This is a hands-on position. You must have excellent verb...
JOB DESCRIPTION Collections & Medical Billing Specialist (Insurance Claims) Durable Medical Equipment Job Description Are you highly motivated and eager to make an impact? We’ve got a great opportunity for you! ADVENT Home Medical, Inc., specializing in durable medical equipment services and supplies is seeking highly-experienced Medical Collections and Medical Billing Specialist to join our t...
Lead Medical Claims Review Specialist – Managed Care Austin, TX Job Summary: The Lead Claims Review Specialist is responsible for in-depth analysis and final resolution of claims requiring clinical review, ensuring full compliance with policies and all regulatory procedures along with building, and fostering collaborative working relationships. The Claims Review Specialist is also responsible f...
Now Hiring Medical Claims Representative Carlton Staffing has partnered with a leading insurance claim management company located in Fort Worth, TX. Our client strives to create an environment where their employees meet fresh, exciting challenges and experience the satisfaction of a job well done. They have been highly successful in their industry and have established very high production standar...
Healthcare Claims Recover and Collections Long Beach, CA 90802 Identify, validate and track overpayments to providers by reviewing claims audits results and provider claims reports. Handle occasional Provider communication regarding overpayment disputes. Essential Functions • Coordinate analyzing claims overpayments not to exceed 1 year and determine collection recovery strategies. • Prepare ...
SPECTRUM HEALTHCARE We are growing again! We are adding the following positions to our dedicated staff of caring professionals. We pay competitive salaries and have an excellent benefits package. Full-time positions included company paid health, dental, long term disability, and life insurance, as well as generous paid time off benefits, and 401(k). We would love to have you join our team! Medi...
As an Allstate Claims Service Specialist you will play a vital role to ensure we deliver on our promise to help restore people's lives after they've had a property loss. You will be challenged to manage multiple cases simultaneously, and solve problems in a fast-paced working environment. Delivering exceptional and courteous customer service Speaking with customers regarding their damaged proper...
*Position can be hired at a higher level depending on the experience of the selected candidate JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization and claims...
Open House Saturday, November 8, 2014 & Sunday, November 9th, 2014 9:00 a.m. to 1:00 p.m. Courtyard by Marriott Downtown San Francisco Hotel 299 2nd St. San Francisco, CA 94105 Zenith American Solutions is growing our Medical Claims Processing and Customer Service Call Center teams in San Francisco! If you have experience with medical claims processing or working in a high volume call center...
Web Recruiter Phoenix, AZ, 85065
The Health industry is seeking a full-time Medical Claims Specialist for the Phoenix, AZ area. Web Recruiter seeks someone who can perform the following primary roles and responsibilities: Call insurance companies to follow up on payment of medical claims, Verify insurance coverage, Follow up with patients to help get information needed to get their medical claims paid. The right candidate will be...
Recruit GAAP Staffing Philadelphia, PA, 19196
A hiring employer with Recruit GAAP in the Health industry is seeking a full time Medical Claims Specialist. The company offers the following environment: Stable Company with growth potential. Estimated salary of $15 per Hour. The right candidate will have experience with, or the skills and abilities to: Typing, Customer service, Account resolution. Seeking someone who can successfully perform the...
Vista Health Region), AR
Medical Claim Specialist, FT, Days-1473418 Description Responsible for preparation of bills and invoices, the calculation of sales tickets and charge slips, and verification of billing with accounts receivable ledger. Processes changes in information system to support accurate and efficient billing process and financial close. Relies on limited experience and judgment to plan and accomplish goal...
Northwest Physicians Springdale (Bentonville Region), AR
Description Responsible for preparation of bills and invoices, the calculation of sales tickets and charge slips, and verification of billing with accounts receivable ledger. Processes changes in information system to support accurate and efficient billing process and financial close. Relies on limited experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under ...
Analyze overpayments made on patient accounts and process any necessary refunds. Work Experience Requirements Candidates must have previous medical collection experience including workers compensation, Medicare, Medicaid, commercial insurance and managed care. Minimum of two-years experience in a medical/billing office also required. Bilingual a plus. Education Requirements High school diplo...
Are you looking for temp to hire work? Are you available on first shift, Monday through Friday? Do you have experience processing claims? If so, SPHERION has a GREAT opportunity for you!! Our West Madison client has multiple openings to put your experience to use in their beautiful office! This position has full-time hours, Monday through Friday. Again, this is a Temp to Hire opportunity. Candi...
Get new jobs by email for this search
We'll keep looking and send you new jobs that match this search.
Upload your resume and let employers find you!
It's that simple!
Healthcare Career Tools
Medical Claims Specialist/Examiner
$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Medical Claims Specialist/Examiner
Processes medical claims by reviewing and analyzing information; determining actions such as acceptance or denial.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Determines covered medical insurance losses by studying and interpreting contracts and policies.
Maintains quality customer services by following customer service practices; responding to customer inquiries.
Popular Medical Claims Specialist Articles
Sample Resumes by Industry
Writing a resume specific to your industry is a great way to be a star candidate. If you need help customizing your resume to your field, check out these resume examples for various careers.
Sample Resume for an Entry-Level Clinical Data Specialist
Is your resume as optimized as the clinical data you code? This sample shows how you can organize your resume data to launch your career.
Healthcare Stepping-Stone Jobs
Get into healthcare with two or fewer years of education, and see how it can lead to bigger and better things.
Five Tips to Avoid Back Injuries in Nursing
The physical demands of nursing can wreak havoc on your back. Experts weigh in on how nurses can prevent common back injuries.
2010 Government Jobs Forecast
While state and local governments are cutting back, Uncle Sam is staffing up, and not only in DC. Find out who's high on the federal government's hiring list.