Jobs
>
Orlando

    Claims Resolution Specialist I - Orlando, United States - Florida Cancer Specialists

    Default job background
    Description
    Claims Resolution Specialist I page is loaded

    Claims Resolution Specialist I

    Apply

    locations

    United States

    time type

    Full time

    posted on

    Posted 3 Days Ago

    job requisition id

    JR13238


    Date Posted:

    Country:
    United States of America


    Location:
    Florida - Remote


    WHY JOIN FCS
    At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them.

    In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

    Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

    A LITTLE BIT ABOUT FCS
    Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care.

    We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.

    Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols.

    In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.
    Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.
    Come join us today

    RESPONSIBILITIES

    Position Summary :
    Review all medical insurance claims for resolution and payment.

    Resolve any incoming inquiries or payment denials from insurance providers for payment. Research, compile, and respond to documentation requests from insurance carriers in a timely basis.

    Contact insurance carriers to collect on open account balances.


    QUALIFICATIONS

    Required Qualifications :

    • The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes.
    -

    Must have an in-depth understanding of explanation of benefits (EOB)

    At least one year of prior medical billing or medical collections experience. -

    EMR or GE Centricity Practice Management software experience preferred. -

    Medical Oncology, Radiology, Radiation, Laboratory, or Pathology experience preferred. -

    Excellent communication and interpersonal skills required.


    EEOC


    Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs.

    If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment (

    ) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.

    FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.

    SCREENINGS – Background, drug, and nicotine screens


    Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve.

    All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening.

    Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption.

    In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing.
    Similar Jobs (1)

    Claims Resolution Specialist I

    locations

    United States

    time type

    Full time

    posted on

    Posted 30+ Days Ago

    About Us:
    Florida Cancer Specialists & Research Institute (FCS) has built a national reputation for excellence.


    At nearly 100 locations throughout Florida, our team members share a commitment to ensuring that patients have access to world-class cancer care, close to home, with the support they need at every step of their cancer journey.

    At FCS, we believe the diversity, talent, skills and expertise of our people are our greatest assets, and we strive to provide a workplace where team members can thrive and grow.

    How do we provide the best teamwork - with personalized community care?
    At Florida Cancer Specialists & Research Institute, we believe in innovation.

    Our mission is to provide the best care possible to those we serve, and one of the ways that we can do that is invest in the strength of our people.

    We have various career paths for our associates to meet you where you are on your career journey.
    Apart from being a positive impact onto the people you'll have a chance to serve in these communities' associates can benefit from but not limited to:

    • Significant Professional Opportunities
    • Advancement in Your Career
    • Training
    • Competitive Wages

    Notice:


    As a Community Oncology practice, we believe we have a responsibility to promote, encourage and be a role model for healthy lifestyles that reduce the likelihood of cancer.

    In support of this belief, Florida Cancer Specialists will not hire individuals who use tobacco/nicotine products in any form. If you use products containing nicotine of any kind, including nicotine patches, gum, e-cigarettes, etc.
    What

    Doctors Say About Our Practice:

    Hear From Our Nurses:
    Why They Choose FCS
    #J-18808-Ljbffr


  • The Travelers Companies, Inc. Orlando, United States

    Who Are We? · - Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultu ...


  • Travelers Insurance Orlando, United States OTHER

    Who Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...

  • Travel + Leisure Co.

    Account Specialist

    1 week ago


    Travel + Leisure Co. Orlando, United States Full time

    We Put the World on Vacation · At Travel + Leisure Co., our mission is simple: to put the world on vacation. Our membership travel and vacation exchange brands, including RCI, 7Across and Travel + Leisure GO, are shaping the future of the travel industry by creating new possibili ...

  • Insight Global

    Finance Associate

    3 weeks ago


    Insight Global Orlando, United States

    We are looking for a Customer Support Specialist to work for a leader in the financial industry. This person will be responsible for making 50-60 inbound client calls each day. The responsibilities will also include scheduling adherences, breaks, and lunches for clients. They wil ...


  • Bluegreen Vacations Orlando, United States Full time

    Job Description · The Escalations Representative will handle escalated guest concerns and retention by phone, email or online chat. Making certain to listen effectively to find the root cause of issues, the CX Associate will communicate clearly in a friendly way to solve the i ...


  • eTeam Orlando, United States

    Title: eCommerce Commercial Operations Specialist · Duration: 9 months · Location: Orlando, FL Hybrid) · The pay Rate is $53 Hourly on w2 · JOB SUMMARY: · The Specialist, eCommerce Commercial Operations supports the team responsible for execution and implementation of digital c ...

  • Mastech Digital

    Payroll Analyst

    3 weeks ago


    Mastech Digital Orlando, United States

    : Responsibilities:- · • Responsible to scrub through all time submitted to ensure proper payroll processing · • Responsible for leading Absence administration including Paid Leaves and Paid Time Off · • Identify any trouble issues in payroll and work with the respective organiza ...


  • Travel + Leisure Co. Orlando, United States Full time

    We Put the World on Vacation · At Travel + Leisure Co., our mission is simple: to put the world on vacation. Our Vacation Ownership business line includes Club Wyndham, WorldMark by Wyndham, Margaritaville Vacation Club, Accor Vacation Club and the brand new Sports Illustrated Re ...


  • Ferrellgas Orlando, Florida, United States Permanent

    Overview: · Ranked among Forbes Best Employers in America 2017, Ferrellgas knows dedicated superior service starts with supported employees. Do you want to work in an environment where the word "Team" really means something? At a place where you and your contributions are truly v ...


  • Henry Schein Orlando, United States Full time

    JOB OVERVIEW: · Working independently in a defined geographic territory, the Senior Orthodontic Sales Specialist (SOSS) is responsible for achieving sales goals through a consultative selling approach servicing a customer base of orthodontic and general dental professionals. EOSS ...


  • LYNX Orlando, United States

    PROCUREMENT AND CONTRACT SPECIALIST · 455 N Garland Ave, Orlando, FL 32801, USA Req #525 Tuesday, June 18, 2024 Our vision is to be recognized as a world-class leader for providing and coordinating a full array of mobility and community services. LYNX mission is to link our com ...


  • SNC-Lavalin Orlando, United States Full time

    Job Description · Why join us? · It's an exciting time at AtkinsRéalis We are rapidly growing in the US. Our company purpose is to build a better world for our planet and its people. We recognize the importance of making sure that our clients and employees, feel this purpose e ...


  • AtkinsRéalis Orlando, United States

    Job Description · Why join us? · It's an exciting time at AtkinsRéalis We are rapidly growing in the US. Our company purpose is to build a better world for our planet and its people. We recognize the importance of making sure that our clients and employees, feel this purpose ever ...


  • Parallel Partners Orlando, United States

    NICE Contact Center Configuration Specialist, Orlando, FL · We are seeking a NICE Contact Center Configuration Specialist to maintain and improve our NICE inContact platform and connections with external systems.This role combines strong technical expertise with a deep understan ...


  • Ally Building Solutions Orlando, United States

    Ally Building Solutions provides flooring, cabinetry, countertop, appliances, window treatment, millwork, wire shelving and glass enclosure products and expert installation services, as well as design studio solutions, to new home builders in greater Orlando, Jacksonville, Tampa ...


  • Alphanumeric Systems Orlando, United States

    Alphanumeric is hiring an ORDER FULFILLMENT SPECIALIST to work in Orlando, FL with an environmental-friendly energy innovator focused on sustainability. · Receives, process, tracks and reports status of customer quote requests and orders in · accordance with MHPSA customer servic ...


  • Rose International Orlando, United States Permanent

    Date Posted: 05/09/2024 · Hiring Organization: Rose International · Position Number: 463761 · Job Title: Senior Payroll Specialist · Job Location: Orlando, FL, USA, 32826 · Work Model: Onsite · Employment Type: Temp to Hire · Estimated Duration (In months): 13 · Min Hourl ...


  • Creative Financial Staffing Orlando, United States

    Human Resources Specialist · About the Company and Opportunity: · Dynamic Growth: Join an innovative organization experiencing substantial growth and committed to employee development and operational excellence. · Inclusive Culture: Our client fosters a collaborative and inclusiv ...


  • Omni Inclusive Orlando, United States

    Note: Need Senior exp resources onlyExp in MuleSoft, IBM Integration Bus (IIB), and JBoss · Strong understanding of Commercial Off-The-Shelf (COTS) software applications · Job Summary: · Seeking an experienced and proactive Platform Support Lead with expertise in MuleSoft, IBM ...


  • Bluegreen Resorts Orlando, United States

    Job Description · The Escalations Representative will handle escalated guest concerns and retention by phone, email or online chat. Making certain to listen effectively to find the root cause of issues, the CX Associate will communicate clearly in a friendly way to solve the issu ...