1,169 Claims Follow Up jobs in the United States
Claims Follow Up
Posted today
Job Viewed
Job Description
Job Description
Apply Here: &TrackId=ZipRecruiter
Job descriptionWe are seeking a patient focused individual to be the Insurance Denials / Claims Follow Up Specialist at our Edina, MN location.
If you have a passion for providing exceptional patient care, are personable, collaborative, attuned to accuracy and fine detail, and would like to join a nationally known and high performing team, we would like to talk to you.
Duties and Responsibilities:
- Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for a specific denial type or payer.
- Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements.
- Communicates with patients, insurance carriers, co-workers, and referral sources in a timely, effective manner to expedite the billing and collection of accounts receivable.
- Documents all communications with coworkers, patients, and payer sources in the billing system.
- Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections • Collaborates with supervisor on prioritization of work to enhance bottom line results and achievement of the most important objectives.
- Contributes to a team environment.
- Makes and organizes notes to track workflow and identify trends to communicate to departmental leaders.
- Meets or exceeds RCM quality assurance standards.
- Ensures timely follow-up and completion of all daily tasks and responsibilities.
Requirements:
- High School diploma or equivalent
- 1+ year experience in a medical billing department, provider front office, the Company's imaging center operations, prior authorization department or payer claim processing department.
- Thorough knowledge and experience with EOB’s
- Proficiency with Microsoft Excel, Word, and Outlook
- Proficient with using computer systems and typing.
- Experience with multi-line phone system
- Knowledge and experience with ICD-10, CPT and CPT / HCPCS codes
- Graduate of an accredited medical billing program preferred.
- AllScripts experience preferred.
We offer excellent compensation and benefits, to include:
- Paid Holidays - 7 days per year
- Personal Time Off (PTO) - 16 days per year
- Health Insurance
- Health Reimbursement Account
- Health Savings Account
- Dental Insurance (free single coverage)
- Flexible Spending Accounts
- Basic and Supplemental Term Life Insurance (free single coverage)
- Long Term Disability (free single coverage)
- Long Term Care (free single coverage)
- Short-Term Disability
- Vision
- Legal Insurance
- Pet Insurance
- $250 in uniform (scrubs and shoes) reimbursement
About Retina Consultants of Minnesota (RCM):
RCM has 9 Minnesota locations - St. Louis Park, Edina, Edina Specialty, Woodbury, Blaine, Duluth, Maplewood, Anoka and Mankato.
Everything we do…. every decision we make…takes our Guiding Principles into consideration. Our guiding principles are:
- We exist to serve our patients. We will provide the best available medical skills, technology, and service. We will be their advocates. We will care for our patients as if they were members of our family. We will treat our patients with respect, dignity, and kindness.
- We are proud of our dedicated staff. We will strive to provide a rewarding career with opportunity for personal and professional growth. We will promote teamwork. We will provide a respectful and safe working environment.
- We are humbled that other doctors entrust their patients to our care. We will be available when we are needed. We will promptly communicate the results of patient evaluation and treatment. We will respect the referring doctors’ relationships with their patients.
- We recognize that we have a responsibility to our community. We will strive to be desire to perpetually “Learn and Grow”
- Efficient and highly accurate user of applicable information technology and health care management systems
- A good corporate citizen. We will function ethically. We will be prudent in our stewardship of healthcare resources.
- Medical advances are critical to our patients. We will remain at the forefront in the search for new knowledge and treatments of retinal disease. We will participate in clinical research. We will share our knowledge with our patients and referring doctors, and with our retinal colleagues around the world.
Patient Account Representative - Insurance Claims Follow Up
Posted 8 days ago
Job Viewed
Job Description
This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area w Insurance, Patient, Claims, Representative, Account, Behavior, Healthcare
Patient Account Representative- Medical Insurance Claims Follow Up/Hospital Billing
Posted today
Job Viewed
Job Description
Job Family :
Patient Account Representative
Travel Required :
Clearance Required :
Job Posting
Guidehouse is hiring! We have Patient Account Rep and Senior Patient Account Rep positions available. Apply now!
What You Will Do :
The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for non-government accounts. This position works with other departments to facilitate the meeting of both departmental/facility goals and objectives. This position is responsible for verifying payments received are correct per our contract, for ensuring patient satisfaction, and demonstrating the ability to find solutions to problems. The Patient Account Representative also collaborates with Managment regarding payment patterns and/or other issues with specific payers to ensure efficient process execution.
The Patient Account Representative possesses a strong knowledge of billing, managed care, and timely filing guidelines. Additionally, executors of this role demonstrate an ability to effectively review remittance advices and electronic billing reports from payer to determine appropriate actions. This position performs all related job duties as assigned.
Location: UAB Medicine Avondale Business Office
Work site: Onsite - possibly Hybrid after 6 months
Position type: Full Time-Various shifts (Day, Evening, Nights)
What You Will Need :
High School diploma or equivalent.
0-2 years of experience in hospital billing and/or claims follow-up
What Would Be Nice to Have :
CPAR (Certified Patient Account Rep)
Knowledge and understanding of diagnosis, HCPCS and CPT codes.
1 year experience with claim edits and follow-up related to government/non-government claims accounts.
Prior experience with Metrix, SSI, and HealthQuest
Experience with spreadsheets, reporting, payer websites and sFax.
Excellent communication and interpersonal skills
Great typing skills along with MS Excel and Word experience
#IndeedSponsored
What We Offer :
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
By applying, you consent to your information being transmitted by Veritone to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See Guidehouse Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
Patient Account Representative- Medical Insurance Claims Follow Up/Hospital Billing
Posted 5 days ago
Job Viewed
Job Description
Patient Account Representative
Travel Required:
None
Clearance Required:
None
Job Posting
Guidehouse is hiring! We have Patient Account Rep and Senior Patient Account Rep positions available. Apply now!
What You Will Do:
The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for non-government accounts. This position works with other departments to facilitate the meeting of both departmental/facility goals and objectives. This position is responsible for verifying payments received are correct per our contract, for ensuring patient satisfaction, and demonstrating the ability to find solutions to problems. The Patient Account Representative also collaborates with Managment regarding payment patterns and/or other issues with specific payers to ensure efficient process execution.
The Patient Account Representative possesses a strong knowledge of billing, managed care, and timely filing guidelines. Additionally, executors of this role demonstrate an ability to effectively review remittance advices and electronic billing reports from payer to determine appropriate actions. This position performs all related job duties as assigned.
Location: UAB Medicine Avondale Business Office
Work site: Onsite - possibly Hybrid after 6 months
Position type: Full Time-Various shifts (Day, Evening, Nights)
What You Will Need:
- High School diploma or equivalent.
- 0-2 years of experience in hospital billing and/or claims follow-up
- CPAR (Certified Patient Account Rep)
- Knowledge and understanding of diagnosis, HCPCS and CPT codes.
- 1 year experience with claim edits and follow-up related to government/non-government claims accounts.
- Prior experience with Metrix, SSI, and HealthQuest
- Experience with spreadsheets, reporting, payer websites and sFax.
- Excellent communication and interpersonal skills
- Great typing skills along with MS Excel and Word experience
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Patient Account Representative- Medical Insurance Claims Follow Up/Hospital Billing
Posted 3 days ago
Job Viewed
Job Description
Patient Account Representative
**Travel Required** **:**
None
**Clearance Required** **:**
None
Job Posting
**Guidehouse is hiring! We have Patient Account Rep and Senior Patient Account Rep positions available. Apply now!**
**What You Will Do** **:**
The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for non-government accounts. This position works with other departments to facilitate the meeting of both departmental/facility goals and objectives. This position is responsible for verifying payments received are correct per our contract, for ensuring patient satisfaction, and demonstrating the ability to find solutions to problems. The Patient Account Representative also collaborates with Managment regarding payment patterns and/or other issues with specific payers to ensure efficient process execution.
The Patient Account Representative possesses a strong knowledge of billing, managed care, and timely filing guidelines. Additionally, executors of this role demonstrate an ability to effectively review remittance advices and electronic billing reports from payer to determine appropriate actions. This position performs all related job duties as assigned.
**Location:** UAB Medicine Avondale Business Office
**Work site:** Onsite - _possibly_ Hybrid after 6 months
**Position type:** Full Time-Various shifts (Day, Evening, Nights)
**What You Will Need** **:**
+ High School diploma or equivalent.
+ 0-2 years of experience in hospital billing and/or claims follow-up
**What Would Be Nice to Have** **:**
+ CPAR (Certified Patient Account Rep)
+ Knowledge and understanding of diagnosis, HCPCS and CPT codes.
+ 1 year experience with claim edits and follow-up related to government/non-government claims accounts.
+ Prior experience with Metrix, SSI, and HealthQuest
+ Experience with spreadsheets, reporting, payer websites and sFax.
+ Excellent communication and interpersonal skills
+ Great typing skills along with MS Excel and Word experience
#IndeedSponsored
**What We Offer** **:**
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family Sick Time & Company Paid Holidays
+ Position may be eligible for a discretionary variable incentive bonus
+ Parental Leave
+ 401(k) Retirement Plan
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program
**About Guidehouse**
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
_Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee._
Patient Account Representative- Medical Insurance Claims Follow Up/Hospital Billing
Posted today
Job Viewed
Job Description
Job Family:
Patient Account Representative
Travel Required:
Clearance Required:
Job Posting
Guidehouse is hiring! We have Patient Account Rep and Senior Patient Account Rep positions available. Apply now!
What You Will Do:
The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for non-government accounts. This position works with other departments to facilitate the meeting of both departmental/facility goals and objectives. This position is responsible for verifying payments received are correct per our contract, for ensuring patient satisfaction, and demonstrating the ability to find solutions to problems. The Patient Account Representative also collaborates with Managment regarding payment patterns and/or other issues with specific payers to ensure efficient process execution.
The Patient Account Representative possesses a strong knowledge of billing, managed care, and timely filing guidelines. Additionally, executors of this role demonstrate an ability to effectively review remittance advices and electronic billing reports from payer to determine appropriate actions. This position performs all related job duties as assigned.
Location: UAB Medicine Avondale Business Office
Work site: Onsite - possibly Hybrid after 6 months
Position type: Full Time-Various shifts (Day, Evening, Nights)
What You Will Need:
High School diploma or equivalent.
0-2 years of experience in hospital billing and/or claims follow-up
What Would Be Nice to Have:
CPAR (Certified Patient Account Rep)
Knowledge and understanding of diagnosis, HCPCS and CPT codes.
1 year experience with claim edits and follow-up related to government/non-government claims accounts.
Prior experience with Metrix, SSI, and HealthQuest
Experience with spreadsheets, reporting, payer websites and sFax.
Excellent communication and interpersonal skills
Great typing skills along with MS Excel and Word experience
#IndeedSponsored
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate-42nd ...
Posted 24 days ago
Job Viewed
Job Description
Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days
Responsible for the supervision and coordination of administrative and general office activities, consistent with departmental objectives, administrative policies and practices. Provides direct supervision for administrative and office support staff such as secretarial/administrative assistants, medical assistants, schedulers, data management and medical records staff. Ensures successful delivery of support services within the department or unit, including, but not limited to: human resources activity, payroll, purchasing and budgetary participation.
**Qualifications**
+ Associate?s degree or equivalent work experience. Bachelor?s degree preferred.
+ 3 years of directly related experience. 1 year in a supervisory role preferred.
+ Intermediate Excel
+ Typing, Data and Excel Assessment
Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital
**Responsibilities**
+ Plans and schedules work for staff to ensure proper distribution of assignments and adequate staffing, space and facilities for subsequent performance of duties.
+ Ensures adequate staffing for unexpected/emergency coverage.
+ Provides work direction, guidance, coaching and training for staff.
+ Establishes, reviews and revises work processes and procedures to ensure efficient and effective administrative activities.
+ Makes recommendations regarding fiscal and staffing requirements of the unit to assist in the preparation of budgetary recommendations.
+ Compiles information reflecting expenditures and develops comparisons.
+ Assists in the development of new methods, procedures and/or processes to increase efficiency and to improve service deliver, production, equipment performance, scheduling and quality control.
+ Establishes and maintains liaison with other departments or units, as well as within own department, to ensure effective coordination of work activities.
+ Fosters an environment of open communication and team work in support of the department and organizations goals and objectives.
+ Ensures compliance with department and organizational policies and procedures.
+ Supervises and coordinates various personnel activities including, but not limited to: hiring, performance appraisals, training, disciplining and making salary increase recommendations.
+ Performs other related duties.
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
**Compensation Statement**
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64526.72 - $80340.13 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Be The First To Know
About the latest Claims follow up Jobs in United States !
Insurance Claims Specialist
Posted 2 days ago
Job Viewed
Job Description
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High school diploma or equivalent.
2. State criminal background check and Federal (if applicable), as required for regulated areas.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1. Previous insurance authorization experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.
2. Follows up on accounts as indicated by system flags.
3. Contacts insurance company or employer to determine eligibility and benefits for requested services.
4. Follows up with the patient, insurance company or provider if there are insurance coverage issues in order to obtain financial resolution.
5. Use work queues within the EPIC system for scheduling, transition of care, and billing edits.
6. Performs medical necessity screening as required by third party payors.
7. Documents referrals/authorization/certification numbers in the EPIC system.
8. Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions.
9. Communicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility.
10. Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed.
11. Communicates problems hindering workflow to management in a timely manner.
12. Assesses all self-pay patients for potential public assistance through registration/billing systems Provides self-pay/under-insured patients with financial counseling information. Maintains current knowledge of major payor payment provisions.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Prolonged periods of sitting.
2. Extended periods on the telephone requiring clarity of hearing and speaking.
3. Manual dexterity required to operate standard office equipment.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
SKILLS AND ABILITIES:
1. Excellent oral and written communication skills.
2. Basic knowledge of medical terminology.
3. Basic knowledge of ICD-10 and CPT coding, third party payors, and business math.
4. General knowledge of time of service collection procedures.
5. Excellent customer service and telephone etiquette.
6. Minimum typing speed of 25 works per minute.
7. Must have reading and comprehension ability.
Additional Job Description:
Scheduled Weekly Hours:
40Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)Company:
UNTWN Uniontown HospitalCost Center:
8265 UNTWN UrologyAddress:
500 W Berkeley Street Uniontown PennsylvaniaEqual Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
Insurance Claims Specialist
Posted 3 days ago
Job Viewed
Job Description
Insurance Claims Specialist
Snaggle Dental
West Monroe, LA 71291
Job details
Salary: Starting from $16.00-$20.00/hourly
Pay is based on experience and qualifications.
**incentives after training vary and are based on performance
Job Type: Full-time
Full Job Description
With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!
Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL:
Qualifications
- High school or equivalent (Required)
- Takes initiative.
- Has excellent verbal and written skills.
- Ability to manage all public dealings in a professional manner.
- Ability to recognize problems and problem solve.
- Ability to accept feedback and willingness to improve.
- Ability to set goals, create plans, and convert plans into action.
- Is a Brand ambassador, both in and outside of the facility.
- Medical, Dental, Vision Benefits
- Dependent Care & Healthcare Flexible Spending Account
- Simple IRA With Employer Match
- Basic Life, AD&D & Supplemental Life Insurance
- Short-term & Long-term Disability
- Competitive pay + bonus
- Paid Time Off & Sick time
- 6 paid Holidays a year
Insurance Claims Specialist
Posted 3 days ago
Job Viewed
Job Description
Job Summary:
Join our dynamic team as an Insurance Claims Specialist. In this role, you will play a crucial part in analyzing and processing insurance claims to determine insurance carrier liabilities while upholding our company’s mission and values. Your primary responsibilities will include efficient adjudication of claims, clear communication with insured parties, travel suppliers, medical facilities, and compliance with all state Department of Insurance regulations. Some weekend work may be required. This position reports to the Claims Supervisor.
Principal Duties and Responsibilities:
Claims Processing and Coordination
- Process assigned claims promptly, accurately, and efficiently while following established policies and best practices.
- Review claim forms, Physician Statements, and documentation to validate completeness.
- Communicate with insured individuals, healthcare providers, agents, and other necessary parties to obtain proper documentation and resolve claims.
- Maintain accurate reserves for each claim file.
- Ensure comprehensive file documentation is collected and retained, including all correspondence.
- Investigate claims and coordinate with outside adjusters and investigators as required.
- Issue denial of benefits letters when necessary.
- Manage attorney-represented claims effectively.
- Address and respond to Department of Insurance complaint letters.
- Respond to inquiries related to claims status both via written and phone communication.
- Ensure timely and accurate payment issuance.
- Consistently apply current Federal and State insurance regulations across all jurisdictions.
Customer Service
- Provide clear responses to internal and external customer inquiries regarding coverage and policy information.
Teamwork and Department Support
- Assist in mentoring and training new employees as needed.
- Take on additional assignments or special projects as directed by management.
Required / Desired Knowledge, Experiences, and Skills:
- Exceptional verbal and written communication, problem-solving, and organizational skills.
- Strong reading, writing, comprehension, and proofreading abilities.
- Familiarity with standard practices, regulations, and laws in the insurance field is preferred.
- Bilingual proficiency in English and Spanish (verbal, reading, and writing) is a plus.
Education/Certifications:
- High School Diploma or equivalent is required; a Bachelor's degree from an accredited institution is a plus.
- Prior experience in claims processing and customer service is highly preferred.
Physical Working Environment:
This role requires the ability to stand, walk, and sit for extended periods. The employee will use hands for grasping and handling and may need to lift or move up to 10 pounds frequently and up to 25 pounds occasionally. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
The above statements describe the general nature of work involved in this role and are not intended to be an exhaustive list of all responsibilities, duties, and skills necessary for employees in this classification.