Top 23 Claims analyst specialist Jobs in Beulaville, Nc

Claims Analyst Specialist
ONSLOW MEMORIAL HOSPITAL —Jacksonville, NC
- Overtime
- Mid-level
- Hospital experience
Billing Specialist
Southern Pharmacy Services - Pink Hill —Pink Hill, NC
- Full-time
- HIPAA
- Research
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
Reimbursement Specialist
ONSLOW MEMORIAL HOSPITAL —Jacksonville, NC
- Full-time
- Customer service
- Mid-level
- 3 years
Patient Care Specialist
ForMotion Clinic —Jacksonville, NC
- Full-time
- Ability to walk for extended periods
- High school diploma or GED
- Clinic
- Paid holidays
- Health insurance
6d
Property Claims Adjuster Specialist - Field
USAA —Jacksonville, NC
- $69,920 - $133,620 a year
- Overtime
- Hybrid work
- Military
- Research
- Mid-level
- Paid holidays
- Health insurance
Security Professional Flex Officer
Allied Universal —Jacksonville, NC
- $16.31 an hour
- Part-time
- 18 years or older
- 5 years
- Military
- AD&D insurance
- Paid holidays
Quick Apply
13d
Installer Service Specialist
O'Reilly Automotive Stores —Warsaw, NC
- Full-time
- ASE Certification
- Mid-level
- Team management
- Employee stock purchase plan
- Health insurance
Quick Apply
10d
Employee Benefit Specialist
Wayne-Sanderson Farms —Kinston, NC
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- English
- 401(k)
Quick Apply

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claims analyst specialist jobs near beulaville, nc

Claims Analyst Specialist

ONSLOW MEMORIAL HOSPITAL -
Jacksonville, NC

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Job Details

Full-time

Qualifications

Appeals
Medicare
Accounts receivable management
Account maintenance
Spreadsheets
Mid-level
Refund processing
ICD-10
HCPCS
Accounting data entry
Billing follow-up on outstanding patient balances
Medical billing and coding communication with insurance companies
Daily transaction recording
Medical insurance appeals management
Medical explanation of benefits reviews
Medical claims submission
Medicaid
Medical billing account reconciliation
Insurance provider collaboration
Deposits
Insurance claims appeal handling
Medical claim status updates
Hospital experience
Cash allocation
Bank deposit preparation

Full Job Description

Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and follow-up of all outstanding patient accounts. This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list. Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance. Review line item denials and claim rejections for possible appeal and/or research for resubmission. Be proficient in the use of multiple payer software systems. The knowledge of billing codes including CPT, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats. The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow. Additional responsibilities include posting payments and denials to claims filed directly to a patient’s account via electronic posting and manual batch posting. Also required to process requested adjustments, complete daily reconciliation of bank deposits and payment posting. The Claims Analyst Specialist is responsible for entering daily posting numbers to accounting shared spreadsheet, processing refunds from credit balance report and completing insurance requests to include follow up. Interact with insurance carriers in all aspects of claim resolution. Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed.

Education/Certification: N/A

Experience:
Three years hospital billing in several financial classes preferred.
Two years recent hospital cash posting.
General accounting practices required

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Refine Your Search

claims analyst specialist jobs in beulaville, nc

Claims Analyst Specialist

Billing Specialist

Reimbursement Specialist

Patient Care Specialist

Property Claims Adjuster Specialist - Field

Security Professional Flex Officer

Installer Service Specialist

Employee Benefit Specialist

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