Top 4150 Insurance Claims Processing Jobs

Insurance Claims Specialist HB
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Computer literacy
- Medical office experience
- Basic math
Claims - Claims Examiner
Wellcove —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
AR Follow Up - Insurance Claims
Healthcare Claims Management —Indianapolis, IN
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health savings account
- Health insurance
Quick Apply
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone
Sedgwick —Charlotte, NC
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health savings account
- Disability insurance
CLAIMS SPECIALIST
JR Services —Remote
- Full-time
- Remote
- Customer service
- Communication skills
- Entry level
- Vision insurance
Claims Examiner - Remote
ImagenetLLC —Remote
- Full-time
- Remote
- Basic math
- Mid-level
- Data entry
- Paid training
- Health savings account
10d
Medical Biller/Claims Processing - Patient Support Representative - Remote
IQVIA —Newark, NJ
- $23 an hour
- Full-time
- Remote
- Spanish
- HIPAA
- English
PET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT CONTRACTOR
Administrative Strategies —Remote
- Weekends as needed
- Background check
- Spanish
- Anatomy knowledge
- Pet insurance
Quick Apply
Licensed CSR - Agent (Base + Commission)
Atlas Insurance Brokers LLC —Rochester, MN
- $45,000 - $55,000 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Free parking
- Health savings account
Quick Apply
OxyChem Insurance Risk Manager
Oxychem —Dallas, TX
- Full-time
- Microsoft Excel
- 6 years
- Microsoft Outlook
Personal Lines CSR Insurance - Brookville, IN
Berns Family Insurance —Brookville, IN
- $18 - $22 an hour
- Full-time
- Bilingual
- HIPAA
- Analysis skills
- Health insurance
- Paid time off
Quick Apply
1d
Support Advisor - Inspired Wealth Advisors
Thrivent —Lexington, KY
- $60,000 - $80,000 a year
- Full-time
- Research
- Mid-level
- Office
- Paid holidays
- Paid time off
Quick Apply
Account Service Representative (Insurance)
The Reschini Group —Indiana, PA
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health savings account
- Health insurance
Quick Apply
Insurance Agent (P&C)
Cheney Insurance Agency —Damariscotta, ME
- $28 - $30 an hour
- Full-time
- Customer service
- Office
- Microsoft Office
- Disability insurance
- Dental insurance
Quick Apply
9d
Licensed Insurance Agent
Velocity Insurance Agency —North Bergen, NJ
- From $60,000 a year
- Full-time
- Bilingual
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Commercial Insurance CSR (Cust Servc Rep) /Assistant Account Manager - REMOTE HYBRID
Conexus Insurance Partners —Broomfield, CO
- $50,000 - $60,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Spanish
- Paid holidays
- Disability insurance
Quick Apply
Insurance Loss Specialist
CAG Acceptance —Scottsdale, AZ
- $18 - $21 an hour
- Full-time
- Spanish
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Licensed Insurance Professional
Powell State Farm Agency Inc —Mount Pulaski, IL
- $32,000 - $50,000 a year
- Full-time
- Bilingual
- HIPAA
- Mid-level
- Paid time off
- 401(k) matching
Quick Apply
Personal Lines Insurance Claims Advocate
Zander Insurance —Nashville, TN
- $48,000 - $55,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
2d
Administrative Assistant - Social Security Disability Claims
Duncan Disability Law, SC —Nekoosa, WI
- From $16 an hour
- Full-time
- Office
- Administrative experience
- Data entry
- Dental insurance
- Paid time off
Quick Apply
8d

I want to receive the latest job alert for Insurance Claims Processing

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Insurance Claims Processing jobs near

Insurance Claims Specialist HB

SYSTEM West Virginia University Health System
Remote

Apply Now

Job Details

Full-time

Qualifications

Customer communication
Computer literacy
High school diploma or GED

Full Job Description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Employs excellent customer service, oral and written communication skills to provide customer support and resolve issues that arise from customer inquiries. Supports the work of the department by completing reports and clerical duties as needed. Works with leadership and other team members to achieve best in class revenue cycle operations.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. One (1) year medical billing/medical office 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. Submits accurate and timely claims to third party payers.

2. Resolves claim edits and account errors prior to claim submission.

3. Adheres to appropriate procedures and timelines for follow-up with third party payers to ensure collections and to exceed department goals.

4. Gathers statistics, completes reports and performs other duties as scheduled or requested.

5. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.

6. Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up.

7. Contacts third party payers to resolve unpaid claims.

8. Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.

9. Assists Patient Access and Care Management with denials investigation and resolution.

10. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.

11. Attends department meetings, teleconferences and webcasts as necessary.

12. Researches and processes mail returns and claims rejected by the payer.

13. Reconciles billing account transactions to ensure accurate account information according to established procedures.

14. Processes billing and follow-up transactions in an accurate and timely manner.

15. Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital billing.

16. Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.

17. Maintains work queue volumes and productivity within established guidelines.

18. Provides excellent customer service to patients, visitors and employees.

19. Participates in performance improvement initiatives as requested.

20. Works with supervisor and manager to develop and exceed annual goals.

21. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.

22. Communicates problems hindering workflow to management in a timely manner.

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. Must be able to sit for extended periods of time.

2. Must have reading and comprehension ability.

3. Visual acuity must be within normal range.

4. Must be able to communicate effectively.

5. Must have manual dexterity to operate keyboards, fax machines, telephones and other business 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. Office type environment.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.

2. Working knowledge of computers.

3. Knowledge of medical terminology preferred.

4. Knowledge of business math preferred.

5. Knowledge of ICD-10 and CPT coding processes preferred.

6. Excellent customer service and telephone etiquette.

7. Ability to use tact and diplomacy in dealing with others.

8. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

9. Ability to understand written and oral communication.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

544 SYSTEM Patient Financial Services

Apply Now

Refine Your Search

Insurance Claims Processing jobs

Insurance Claims Specialist HB

Claims - Claims Examiner

AR Follow Up - Insurance Claims

Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone

CLAIMS SPECIALIST

Claims Examiner - Remote

Medical Biller/Claims Processing - Patient Support Representative - Remote

PET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT CONTRACTOR

Licensed CSR - Agent (Base + Commission)

OxyChem Insurance Risk Manager

Personal Lines CSR Insurance - Brookville, IN

Support Advisor - Inspired Wealth Advisors

Account Service Representative (Insurance)

Insurance Agent (P&C)

Licensed Insurance Agent

Commercial Insurance CSR (Cust Servc Rep) /Assistant Account Manager - REMOTE HYBRID

Insurance Loss Specialist

Licensed Insurance Professional

Personal Lines Insurance Claims Advocate

Administrative Assistant - Social Security Disability Claims

I want to receive the latest job alert for Insurance Claims Processing

Related Searches

Explore jobs in more locations

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Job Seeker Tools

Employer Tools

Browse

Stay Connected