Workers' Compensation Claims Resolution Specialist

Out-of-Network Claim Resolution SpecialistThis role involves managing and resolving out-of-network claims efficiently, ensuring accurate processing and timely resolution. Key responsibilities include communicating with stakeholders, tracking claim status, and staying up-to-date on new payers and policies.Responsibilities:Manage OON claims from initial...

The ideal candidate will possess a combination of technical knowledge and excellent communication skills. In this role, you will work directly with medical providers, insurance carriers, and other stakeholders to resolve complex workers' compensation claims.Key Job Functions:Manage and track outstanding WC receivables and liens.Foster relationships with...

Claims Resolution ExpertWe are seeking a Claims Resolution Expert to join our team. The ideal candidate will have extensive experience in medical billing and collection, with a proven track record of success in resolving outstanding claims and managing accounts.Claim Review and Analysis: Thoroughly review and analyze patient claims to identify errors,...

This is an exciting opportunity for a motivated and detail-oriented professional to join our team as a Workers' Compensation Collections Specialist. The successful candidate will be responsible for managing the collections process, negotiating settlements, and collaborating with various stakeholders to resolve complex workers' compensation...

We are seeking experienced Billing Executives to manage and resolve Out-of-Network claims after initial submission.Key Responsibilities:Resolve OON claims post-submission, including denials and underpayments.Communicate with insurances, providers, and patients to address OON issues.Ensure accurate processing of claims, including eligibility verification and...

We are seeking detail-oriented and driven Workers' Compensation Collections Specialists to join our team. In this role, you will be responsible for managing the collections process for workers' compensation claims, including billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling. This position requires familiarity...

This role involves working closely with various stakeholders to resolve complex workers' compensation claims. You will need to demonstrate strong analytical and problem-solving skills to navigate the collections process and identify opportunities for improvement.Responsibilities Include:Managing and resolving outstanding WC receivables and liens.Negotiating...

Billing Executives play a critical role in managing Out-of-Network claims. Key responsibilities include resolving claims post-submission, communicating with various stakeholders, ensuring accurate claim processing, tracking claim status, and staying informed about industry changes.Qualifications:Experience in OON claim resolution, with a focus on...

**Accurate and Timely Payments Specialist**Fellow Health Partners seeks a highly skilled Medical Billing Specialist to manage day-to-day tasks associated with medical billing. This includes processing claims, verifying insurance coverage, and resolving billing issues.The ideal candidate will have strong attention to detail, excellent communication skills,...

This Clinical Claims Auditor role requires a skilled professional with experience in medical billing, revenue cycle management, and healthcare compliance. The ideal candidate will have a strong focus on analyzing reports to calculate accurate anesthesia units, modifier usage, Payment Posting, claim follow-up, denial management, and efficient resolution of...