Top 4691 Claim Support Spec Jobs

Billing Support Spec. III
BEHAVIORAL HEALTH SERVICES INC —Gardena, CA
- $28.82 - $32.82 an hour
- Full-time
- HIPAA
- English
- Research
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Technical Applications Engineer
KEES, Inc. —Elkhart Lake, WI
- Full-time
- Sales
- Engineering
- Mid-level
- Health savings account
- Health insurance
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Residential Salesperson: Full-Time
Patco Construction Inc —Sanford, ME
- Full-time
- Construction site
- Mid-level
- Residential
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Inside Sales Coordinator
KEES, Inc. —Elkhart Lake, WI
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Disability insurance
- Health insurance
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CDL A Truck Driver-Midwest Regional/OTR
Xtreme Trucking, LLC —Wisconsin
- $0.65 - $0.72 per mile
- Owner-operator
- CDL A
- Mid-level
- Passenger ride along program
- Disability insurance
Quick Apply
6d
CNC Maintenance Technician
Acu Spec, Inc. —Santa Clara, CA
- Full-time
- Mid-level
- Forklift
- Fair chance
- Health insurance
- 401(k)
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Senior Telecom Data Center Post-Sales Engineer
Netcom Technologies —Clarksburg, MD
- $130,000 - $150,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
CDL-A Owner Operator – Flatbed Hazmat Energy Project | Regional Texas
Truckman Transport LLC —Pasadena, TX
- $6,000 - $9,000 a week
- Full-time
- Background check
- Dedicated
- Owner-operator
- Fuel card
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CDL A Truck Driver-Midwest Regional/OTR
Xtreme Trucking, LLC —Independence, IA
- $0.65 - $0.72 per mile
- Owner-operator
- CDL A
- Mid-level
- Passenger ride along program
- Disability insurance
Quick Apply
7d
Senior Account Executive – Custom Millwork & Doors
Scobis Millwork + Design —St. Louis, MO
- $100,000 - $150,000 a year
- Full-time
- Residential
- Business development experience
- In-person
- Paid holidays
- Relocation assistance
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Sales Support Specialist / Engineer
Cantrell Mechanical Solutions LLC —Gainesville, GA
- $75,000 - $85,000 a year
- Full-time
- Background check
- Bachelor of Science
- Engineering
- Disability insurance
- Health insurance
Quick Apply
7d
Regional Elite Truck Driver - Class A Hiring Event 7/21 - Penske Logistics
Penske Truck Leasing and Logistics —Minneapolis, MN
- $3,000 a week
- Online Application
- Customer service
- Ability to walk for extended periods
- No touch freight
- AD&D insurance
- Paid holidays
9d
Interventional Rad Spec I PRN
HCA HealthONE Mountain Ridge —Thornton, CO
- $34.46 - $54.06 an hour
- PRN
- Radiology
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Sheetmetal Manufacturing Estimator
ACP Waterjet Inc. —Littleton, MA
- $25 - $35 an hour
- Full-time
- Background check
- AutoCAD
- CAD
- Health insurance
- Dental insurance
Quick Apply
Sales and Operations Support Specialist
Rentaload USA —Indianapolis, IN
- $55,000 - $65,000 a year
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
8d
CDL A Experienced Truck Driver - Local
Alpine Logistics —New Hampshire
- $22 an hour
- Overtime
- Owner-operator
- Local
- CDL A
- Paid holidays
- Health insurance
Quick Apply
CDL A Truck Driver-Midwest Regional/OTR
Xtreme Trucking, LLC —Cheyenne, WY
- $0.65 - $0.72 per mile
- Owner-operator
- CDL A
- Mid-level
- Passenger ride along program
- Disability insurance
Quick Apply
7d
CDL A Truck Driver-Midwest Regional/OTR
Xtreme Trucking, LLC —North Platte, NE
- $0.65 - $0.72 per mile
- Owner-operator
- CDL A
- Mid-level
- Passenger ride along program
- Disability insurance
Quick Apply
7d
Architectural Sales Representative - Engineered Wood Veneer
Crown Veneer Corporation —West Grove, PA
- From $60,000 a year
- Full-time
- Hybrid work
- Background check
- Up to 50% travel
- Mid-level
- Travel reimbursement
- Health insurance
Quick Apply
Warehouse Driver
Connelly Electric —Bloomingdale, IL
- $18 - $20 an hour
- Full-time
- Forklift
- High school diploma or GED
- Driver's License
- Health insurance
Quick Apply

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Billing Support Spec. III

BEHAVIORAL HEALTH SERVICES INC -
Gardena, CA

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Job Details

Full-time
$28.82 - $32.82 an hour

Qualifications

English

Full Job Description

Statement of Purpose

The Billing Support Specialist III understands the duties of the Billing Support Specialist I and II, while also providing additional support with in-depth research, escalation, documentation, and communication with Management. The Specialist III would also understand the underlying system data and be able to generate detailed analytical reports as needed by Management.

Major Tasks, Duties and Responsibilities

Have a working knowledge of EDI Billing files including the definition and use of TA1, 999, 277, 835, and 837 files.
Be able to diagnosis and correct commonly known issues for claims that are either not transmittable (“Held” and “Missing” claims) or have been 277CA rejected or 835 denied by the MSO. Work with Clinical or Admin staff to resolve all issues.
Be able to access and navigate MSO systems for relevant information. Be able to submit Cases or Tickets with the MSO for additional technical support. Follow up with issues until they are resolved.
Maintains knowledge of claim requirements for contracting agencies (SAPC, DMH, LAC, ACRO-Cal, etc.) and other third-party payers.
Maintain knowledge of State and Federal resources to aid in the investigation of Level 2 Denied Claims
Record, document, maintain and distribute metrics regarding claims activities (errors, submissions, payments, etc.) required by management and third-party regulatory agencies and contracts
Be able to understand and organize large data sets for financial/operational analysis per the parameters requested by Management or outside regulatory agencies (SAPC, DMH, etc.)
Assist in the maintenance of the EHR system (myEvolv) Rate Tables and help provide minor technical assistance as needed
Assist supervisor with any special tasks, projects or events.
Other duties as assigned.

Competencies and Performance Expectations

Data Analytics
Ability to juggle multiple tasks.
Critical thinking skills. Be able to clearly explain error issues and steps taken.
Ability to provide analytical summaries based on large data sets
Solution oriented and proactive approach to billing process.
Ability to maintain tactful discretion, confidentiality and compliance with Health Insurance Portability and accountability Act (HIPAA).
Strong verbal and written communication skills to establish and maintain effective working relationships with payers and staff.
Proficiency in Microsoft Office suite, specifically Excel.
Ability to work with peers in a team situation
Ability to convey respect for cultural and lifestyle diversities of all when interacting on behalf of the agency, recognizing personal biases working with diverse populations.
Proficiency or ability to rapidly gain proficiency in use of electronic health record (EHR) technology
Must be able to speak, understand, and communicate in English

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Refine Your Search

Claim Support Spec jobs

Billing Support Spec. III

Technical Applications Engineer

Residential Salesperson: Full-Time

Inside Sales Coordinator

CDL A Truck Driver-Midwest Regional/OTR

CNC Maintenance Technician

Senior Telecom Data Center Post-Sales Engineer

CDL-A Owner Operator – Flatbed Hazmat Energy Project | Regional Texas

CDL A Truck Driver-Midwest Regional/OTR

Senior Account Executive – Custom Millwork & Doors

Sales Support Specialist / Engineer

Regional Elite Truck Driver - Class A Hiring Event 7/21 - Penske Logistics

Interventional Rad Spec I PRN

Sheetmetal Manufacturing Estimator

Sales and Operations Support Specialist

CDL A Experienced Truck Driver - Local

CDL A Truck Driver-Midwest Regional/OTR

CDL A Truck Driver-Midwest Regional/OTR

Architectural Sales Representative - Engineered Wood Veneer

Warehouse Driver

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