- Filter in CR by clinic location/date to pull all patients you will bill for that day
- Verify the time, location, and insurance authorization of each claim
- Hold claims for any patients that we have a temporary authorization for
- Hold claims for any patient that changed insurance and we are waiting on new authorization approval
- Communicate with clinics on any billing entries that need to be changed, corrected, or clarified
- Ensure on all claims the correct billing information is selected(provider, clinic, etc.,)
- Send all claims to Gateway
- Check that appropriate modifiers are selected when applicable
- Education: High School Diploma or GED required. An associate, bachelor's degree (or in progress), or applicable experience in a related field such as billing, account reconciliation, collections or other healthcare revenue cycle environment preferred.
- Experience: 2 years of experience working in a healthcare revenue cycle environment/billing preferred
- Knowledge of medical billing/coding.
- Knowledge of electronic practice management systems.
- Knowledge of business office procedures and the ability to operate a multi-line phone system. Ability to establish and maintain effective working relationships with patients, employees, and the public. Organized and detail-oriented.
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Claims Specialist
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Therapy and Beyond Flower Mound, United StatesJob Description · Job DescriptionCompany Description · Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy & Beyond, we approach the needs of each patient both individually and as part of a dynam ...
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Claims Specialist
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Viola N/A, United States Part timeWe are looking for a Claim Specialist 1 here at INSHUR. You'll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. · Supported by (and reporting to ...
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Claims Specialist
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CorVel Enterprise Comp, Inc. Dallas, United StatesJob Description · Job Description · CorVel in Dallas, TX is seeking a Claims Specialist for their Indemnity department. We are looking for experience handling Workers Compensation Indemnity claims in Texas, Oklahoma and Arkansas and a willingness to learn or have experience in ...
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Claims Specialist
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CorVel Dallas, United StatesThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...
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Claims Specialist
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CorVel Enterprise Comp, Inc. Dallas, United StatesJob Description · Job DescriptionCorVel in Dallas, TX is seeking a Claims Specialist for their Indemnity department. We are looking for experience handling Workers Compensation Indemnity claims in Texas, Oklahoma and Arkansas and a willingness to learn or have experience in addit ...
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Claims Specialist
4 days ago
CorVel Enterprise Comp, Inc. Dallas, United StatesJob Description · Job Description · The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims ...
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Claims Specialist
13 hours ago
CorVel Enterprise Comp, Inc. Dallas, United StatesJob Description · Job DescriptionThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims prof ...
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Claims Specialist
1 day ago
Viola Dallas, United StatesWe are looking for a Claim Specialist 1 here at INSHUR. You'll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. · Supported by (and reporting to ...
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Claim Specialist
1 day ago
Anderson Merchandisers, L.L.C. Plano, United StatesWE ARE LOOKING FOR GREAT PEOPLE TO JOIN OUR TEAM- just like you · Our associates have a lot in common. They have great interpersonal skills, enjoy working independently, are self-motivated, and have a relentless drive. Did we mention that while they are working hard, they also ...
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Claim Specialist
4 days ago
Anderson Merchandisers Plano, United States Full timeWE ARE LOOKING FOR GREAT PEOPLE TO JOIN OUR TEAM- just like you · Our associates have a lot in common. They have great interpersonal skills, enjoy working independently, are self-motivated, and have a relentless drive. Did we mention that while they are working hard, they also l ...
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Dental Claims Specialist
5 days ago
Medix Carrollton, United StatesOne of the nations largest Dental Support Organization has 3 openings for talented and motivated Dental Aging Claims Specialists A huge growth opportunity with the fastest-growing dental partnership organization in the country. Apply if qualified and interested · - In office pos ...
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Senior Claims Specialist
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Zurich Insurance Group Addison, United StatesAt Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, Claims Specialist, Claims, Spe ...
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Claims Adjustment Specialist
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UnitedHealth Group Dallas, United StatesDemonstrate sound judgment in assessing and resolving Out of Network disputes Utilize expert knowledge of claims, benefits, eligibility, reimbursement policies, and compliance requirements in reviewing, researching, and responding to disputes around Claims, Specialist, Microsoft, ...
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Complex Claims Specialist
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Liability Claims Specialist
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Central Mutual Insurance Company Irving, United States7301 State Hwy 161, Irving, TX 75039, USA · Req #890 · Location: Hybrid Work Model – Irving, TX · We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It's because we put Integrity, Relationships and Excellence i ...
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Claims Pricing Specialist
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UnitedHealth Group Dallas, United StatesUtilizes existing and gained knowledge of healthcare claims and Reference Based Pricing (RBP) to validate the accuracy of claim data received and pricing results generated from the claim data. Reviews, analyzes, and applies the appropriate pricing te Claims, Pricing, Specialist, ...
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Medical Claims Specialist
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Claims Settlement Specialist
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Zelis Healthcare Plano, United StatesPosition Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor bas ...
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Medical Claims Specialist
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Claims Specialist III
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AmTrust Financial Dallas, United StatesClaims Specialist III - Construction Defect · Job Locations · US-United States · Requisition ID · Category · Claims - Specialty Lines · Position Type · Regular Full-Time · Overview · Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Co ...
Claims Specialist - Flower Mound, United States - Teach Me Personnel LLC
Description
Company DescriptionTherapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy & Beyond, we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in Applied Behavior Analysis (ABA) therapy, Speech-Language Pathology, and Occupational Therapy. We love helping individuals reach their full potential by supporting not only the patient but also their family. Above all, we grow potential by putting people first, doing our best together, and making therapy fun
Job Description
The Claims Specialist position is responsible for submitting claims of patient accounts. This is accomplished through the collection, posting, and management of patient payments. In addition, the position will also be responsible for submitting claims, tracking remits, and following up with insurance payers as required. The Claims Specialist will work very closely with multiple departments to ensure communication among the various parties ensuring all are aware of ongoing developments.
JOB SPECIFIC FUNCTIONS:
Ray rate: $18-$22 per hour
Status: Full time, non-exempt