Claim Representative Salary at Bristol West BETA

Join Our NSU Health Team as a Claims Analyst! Are you detail-oriented, analytical, and passionate about ensuring the accuracy and efficiency of healthcare claims processing? At NSU Health, we’re looking for a dedicated Claims Analyst to join our team and play a vital role in optimizing our revenue cycle. This position offers a chance to make a meaningful impact on our healthcare operations while collaborating with a dynamic team in a supportive environment. What You'll Do: Investigate and Resolve Claims: Identify, analyze, and resolve claim denials and rejections. Collaborate closely with billing, coding, and financial services teams to ensure seamless claims processing. Optimize Revenue Cycles: Generate and analyze claims data to identify patterns, reduce denials, and implement strategies to enhance efficiency. Communication Champion: Serves as a bridge between healthcare providers and payers, facilitating clear, effective communication. Ensure Compliance: Uphold healthcare regulation

Introduction: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that youre close but not an exact match, we encourage you to apply. Overview: YOU HAVE THE OPPORTUNITY TO: - Advance on a clear path career progression across a diverse range of experiences with multiple coverages, jurisdictions, industries and risks! - Join a team of skilled professionals who are up for a challenge and thrive on achieving outstanding performance! - Work in a

Job Description Job Description Medical Collections Specialist - Accounts Receivables: ProMD’s revenue cycle management solution is second to none. We are looking for a team of individuals to provide comprehensive and effective billing and collection services. ProMD is here to provide training, oversight and a plan to achieve effective B&C services. Please see below job description. Medical Insurance Collections Job Description: Fast paced Medical Insurance Billing company looking for experienced Insurance Collector (>2 years). Knowledge of medical appeal guidelines, including Medicare & Medicaid is preferred (Experienced with OB, Cardiology, Orthopedic, etc is a plus). Proficient with ICD-10 and coding guidelines is also preferred. This position will require accounts receivables/collection experience to apply. Excellent benefits such as; paid vacation, paid holidays, medical insurance, 401K with employer contribution, etc. Requirements and/or Responsibilities: Experience with Medicare

Job Description Job Description Job Description: We are seeking a detail-oriented and proactive Medical Insurance Collection Specialist to join our team. This role is responsible for following up on insurance balances to ensure timely payments from insurance companies and liability carriers. The ideal candidate has strong communication skills and can effectively engage with patients, payers, and staff. The Collector will maintain productivity standards, generate reports, update demographic information, and ensure compliance with insurance billing requirements. The role also requires proficiency in operating billing software, documenting follow-ups, and writing effective appeals to insurance companies. Key Responsibilities: Conduct insurance collection activities, including contacting insurance providers and patients. Review and update insurance information as needed. Address claim denials and clearinghouse rejections daily. Work assigned accounts receivable (AR) reports and special pro

Job Description Job Description Must be available Mondays- Fridays. Schedule is either 8:30-5:00pm or 10:30-7:00pm. Two Saturday shifts per month. Compensation: starting at $18.00 per hour. Responsibilities: Providing the highest level of service to our customers. Explaining contract coverage and claim decisions. Taking inbound calls and recording First Notice of Loss. Retain and build customer loyalty by providing a professional, courteous, and a positive experience to each customer. Questions and investigates discrepancies on repairs and related costs Provide accurate and relevant information as it pertains to the customer’s claim inquiries. Demonstrate superior verbal and written communication skills Effectively show active and empathic listening during challenging customer calls. Collect and document the details of each call in our systems. Follow all related procedures through the life cycle of the claim. Adhere to the Key Performance Indicators that will capture your success. Eff

Job Description Job Description Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of billing, as necessary. Provides second review of bills on which providers question the appropriateness of payments authorized. Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary. Trains and assists claims staff on quality health care cost containment and utilization reviews. Company Description Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substant

Job Description Job Description Our client in the healthcare space is looking for a Claims Analyst to join their team to help analyze and manage the healthcare claims to ensure accuracy and timely reimbursement. The Claims Analyst will review, process, and resolve claims issued while ensuring compliance with payer guidelines and company policies. What Your Day-to-Day will look like: Identifies and investigates claim denials and rejections. Analyzes trends and patterns in claims data to identify potential issues or areas for improvement. Develops and implements strategies to resolve issues and reduce the rate of denials. Prepares and submits appeals as necessary. Generates reports to support decision-making and optimize the revenue cycle process. Works closely with billing, coding, and patient financial services teams to address and resolve claims-related issues. Facilitates communication between healthcare providers and payers. Ensures compliance with healthcare regulations, payer poli

Job Description Job Description Fast paced Medical Billing company looking for experienced Medical Billing and Insurance Collector ( >2 years). Must have knowledge of medical appeal guidelines, including Medicare. Need to be proficient with ICD-10 and coding guidelines. Good benefits such as; paid vacation, paid holidays, 401K, health benefits . Job Type: Full-time Experience: Electronic claim filing Posting payments (EOB's and ERA's Work Rejections Work Denials Insurance Portal Follow Up A/R follow up and collections on outstanding AR (Insurance Aging)