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Rendering opinions on liability, damages, and value as requested by the Claims Department. Must be able to follow complex instructions, resolve conflicts or facilitate conflict resolution, and have strong organization/priority setting and multi-tasking skills.
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The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual specializes in the resolution of patient accounts transferred from the PBO. This position will investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance to obtain payment.
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Responsible for the day-to-day account management of an assigned book of business, including but not limited to processing policies/endorsements, invoicing, issuance of certificates of insurance, claims reporting and follow-up as needed, premium breakdowns, auto ID cards, policy changes, review of policy forms, providing coverage comparisons, loss analysis and responding to coverage questions.
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Assists in submitting EDD claims on behalf of providers that are signed up for online EDD. Schedules urgent and follow-up appointments in EPIC, our electronic health record system. This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA. LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community.
$20 - $24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Submit insurance claims, enter insurance payments, follow up on unpaid insurance claims, preparing and sending billing statements, going over financial aspect of treatment with patients, arranging financial agreements with patients, calling patients with unpaid balances.
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Ensures Claims Reporting and follow up for Work Comp and General Liability and timely closure. Ownership of complete Work Comp and General Liability Claims Management Life Cycle- from initial reporting to claim closure.
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Review purchase order claims and contracts for conformance to company policy. Work closely with Production and Engineering departments and follow up by expediting materials as needed to meet department requirements.
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Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution. As a claims adjuster specialist , you’ll play a critical role managing attorney represented bodily injury (BI) claims.
$68,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, fee schedule reimbursements, etc.
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Seek reimbursement for stop loss or aggregate claims. Handle all follow up and provide required documentation to stop loss carrier. 1+ years of medical stop loss claims experience.
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Drawing on your experience in dental and orthodontic settings, you'll meticulously follow up on claims from initial billing through to resolution, ensuring accuracy and timeliness every step of the way.
$18 - $22 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Performs follow up on non-paid insurance claims in a timely manner. Accurately files assigned secondary and supplemental insurance claims in compliance with contractual agreements and billing guidelines within established time frames.
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We engage patients with aggressive scheduling and follow-up, engage claims teams with better information and insights, and engage employers with information and education that reduces lost time and keeps their employees on course for return to work.
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An ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims.
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May process warranty and/or product improvement claims, including the computation of charges, submission, and follow-up. Opens repair orders as directed by the Service Manager/Shop Foreman and maintains control until they are closed and invoiced - the timely closing of repair orders represents the primary responsibility and the highest priority for the service writer position.
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