Top 3067 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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Clinical Document Spec
University of Rochester —Rochester, NY
- $81,307 - $109,761 a year
- Full-time
- Remote
- Nursing
- Medicine
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Certified Recovery Spec
Pyramid Healthcare —East Stroudsburg, PA
- Full-time
- Addiction Medicine
- Pass drug screening
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- Health insurance
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Acu Spec, Inc. —Santa Clara, CA
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Sales Representative
Hills View Homes Inc. —Rapid City, SD
- $75,000 - $250,000 a year
- Full-time
- CRM software
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CDL A Experienced Truck Driver - Local
Alpine Logistics —Vermont
- $22 an hour
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- Owner-operator
- Local
- CDL A
- Paid holidays
- Health insurance
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Interventional Rad Spec I PRN
HCA HealthONE Aurora —Aurora, CO
- $34.46 - $54.06 an hour
- PRN
- Adolescents
- Radiology
- Entry level
- Employee stock purchase plan
- Disability 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
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5d
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
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
8d
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
6d
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
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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
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6d
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
Quick Apply
Technical Applications Engineer
KEES, Inc. —Elkhart Lake, WI
- Full-time
- Sales
- Engineering
- Mid-level
- Health savings account
- Health insurance
Quick Apply
CDL A Experienced Truck Driver - OTR
Alpine Logistics —Springfield, IL
- $70,000 - $100,000 a year
- Online Application
- Owner-operator
- CDL A
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
CDL A Experienced Truck Driver - OTR
Alpine Logistics —Evansville, IN
- $70,000 - $100,000 a year
- Online Application
- Owner-operator
- CDL A
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
CDL A Experienced Truck Driver - OTR
Alpine Logistics —Fort Worth, TX
- $70,000 - $100,000 a year
- Online Application
- Owner-operator
- CDL A
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
CDL A Truck Driver-Midwest Regional/OTR
Xtreme Trucking, LLC —Tulsa, OK
- $0.65 - $0.72 per mile
- Owner-operator
- CDL A
- Mid-level
- Passenger ride along program
- Disability insurance
Quick Apply
6d
CDL A Truck Driver-Midwest Regional/OTR
Xtreme Trucking, LLC —Pennsylvania
- $0.65 - $0.72 per mile
- Owner-operator
- CDL A
- Mid-level
- Passenger ride along program
- Disability insurance
Quick Apply
6d

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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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