Talent.com
Claims Recovery Specialist - MD/DC
Claims Recovery Specialist - MD/DCVirtualVocations • Dayton, Ohio, United States
Claims Recovery Specialist - MD / DC

Claims Recovery Specialist - MD / DC

VirtualVocations • Dayton, Ohio, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Claims Recovery Specialist I - MD / DC (Remote).

Key Responsibilities

Review and audit medical and dental claims to recover overpayments and document the process

Communicate with carriers, members, and providers to recover and settle unpaid claims

Participate in meetings related to Audit and Recoupment and attend training sessions to enhance job knowledge

Required Qualifications

High School Diploma or GED

3 years of claims processing experience

Preferred experience in claims adjustment

Mathematical ability / aptitude

Ability to deal with both internal and external clients

serp_jobs.job_alerts.create_a_job

Recovery Specialist • Dayton, Ohio, United States

Job_description.internal_linking.related_jobs
Operations Specialist II

Operations Specialist II

CareSource • Dayton, OH, United States
serp_jobs.job_card.full_time
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Represent claims on cross-functional project work teams.Submit,...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Enterprise Accreditation Specialist III -

Enterprise Accreditation Specialist III -

CareSource • Dayton, OH, United States
serp_jobs.job_card.full_time
The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or oth...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Recovery Support Specialist

Recovery Support Specialist

Argon Agency • Vandalia, OH, US
serp_jobs.job_card.full_time
The Recovery Support Specialist works in collaboration with affiliate providers and care center staff to assess healthcare needs, identify any barriers to care, and support patients in their health...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Property Field Trainee

Claims Property Field Trainee

Grange Insurance • Dayton, OH, US
serp_jobs.job_card.full_time
Job Category : Claims Property Field PL.Requisition Number : CLAIM004640.Columbus, OH 43206, USA +3 more locations.If you're excited about this role but don't meet every qualification, we still encou...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Accounts Receivable Specialist

Accounts Receivable Specialist

CFS • Kettering, OH, United States
serp_jobs.job_card.full_time
Accounts Receivable Specialist $55,000 - $65,000 Are you a meticulous and organized individual with a keen interest in numbers and financial processes? We are actively seeking a talented and dedica...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Intake Specialist - Recovery Works Healing Center (West Carrollton, OH)

Intake Specialist - Recovery Works Healing Center (West Carrollton, OH)

Atlantic Health Strategies • Dayton, OH, US
serp_jobs.job_card.full_time
About Recovery Works Healing Center.Recovery Works Healing Center is a purpose-driven provider of behavioral health services, dedicated to empowering individuals facing addiction and co-occurring m...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Operations Specialist III

Operations Specialist III

CareSource • Dayton, OH, United States
serp_jobs.job_card.full_time
The Operations Specialist III provides analytical support and leadership for key Claims-related projects.Regulatory reporting such as CMS and Medicaid Prompt Pay. Serve as high dollar claims reviewe...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Intake Specialist - Recovery Works Healing Center (Vandalia, OH)

Intake Specialist - Recovery Works Healing Center (Vandalia, OH)

Atlantic Health Strategies • Vandalia, OH, US
serp_jobs.job_card.full_time
About Recovery Works Healing Center.Recovery Works Healing Center is a purpose-driven provider of behavioral health services, dedicated to empowering individuals facing addiction and co-occurring m...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Collections Specialist

Collections Specialist

REVCO SOLUTIONS INC • Dayton, OH, US
serp_jobs.job_card.full_time
APPLY NOW!! Full-Time Collection Specialist •on-site •.Potential hybrid schedule after 90 days of employment.We are currently seeking Full-Time Collection Specialist with a base pay of $15 per hour ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Outside Recovery Associate

Outside Recovery Associate

Rural King • Lebanon, OH, US
serp_jobs.job_card.full_time
The purpose of the Outside Recovery Associate is to facilitate efficient management of various projects in our outdoor merchandising area, with a core emphasis on assisting customers in loading the...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Collections Specialist

Collections Specialist

Frost Brown Todd LLP • West Chester, OH, US
serp_jobs.job_card.full_time
As an integral part of our finance team, this position will analyze accounts receivable and engage directly with billing attorneys and clients to ensure timely payments while resolving any billing ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Accounts Receivable Specialist

Accounts Receivable Specialist

Robert Half • West Chester, OH, US
serp_jobs.job_card.permanent
We are looking for an experienced Accounts Receivable Specialist to join our team in West Chester, Ohio.In this Contract-to-permanent role, you will play a vital part in ensuring the accuracy of bi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Manager, Billing Disputes and Fraud Claims

Manager, Billing Disputes and Fraud Claims

Macy's • Mason, Ohio, United States
serp_jobs.job_card.full_time
This position is based and operates out of Mason, Ohio.Macy's is more than just a store.One that's captured the hearts and minds of America for more than 160 years. A story about innovations and tra...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Cash Application Specialist

Cash Application Specialist

LHH • Mason, OH, US
serp_jobs.job_card.permanent +1
LHH is looking for a Cash Application Specialist for a client in the Mason, Ohio area.This position is responsible for accurately applying incoming payments to customer accounts, resolving discrepa...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Testing Analyst

Claims Testing Analyst

IntelliPro Group Inc. • Mason, OH, US
serp_jobs.job_card.temporary
Minimum 5-month contract, extension possible.Coordinate with cross-functional teams to ensure testing readiness.Validate claims data in UAT systems. Track and retest defects; ensure resolution.Docum...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Operations Specialist II (Facets Dual Processing)

Operations Specialist II (Facets Dual Processing)

CareSource • Dayton, OH, United States
serp_jobs.job_card.full_time
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Represent claims on cross-functional project work teams.Submit,...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Accounts Receivable Specialist (Cash Application)

Accounts Receivable Specialist (Cash Application)

LHH • Mason, OH, US
serp_jobs.job_card.temporary
Accounts Receivable Specialist (Cash Application).The Accounts Receivable Specialist is responsible for managing incoming payments and ensuring accurate and timely application of cash receipts.This...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Clerk

Claims Clerk

Russell Tobin • Lebanon, OH, United States
serp_jobs.job_card.temporary
Job Opportunity : Claims Coordinator.Contract Duration : 6-12 months with possible extension.We are seeking a Claims Coordinator to support medically necessary contact lens claims processing for EyeM...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Equipment Billing Rep (DME)-FT Dayton, Ohio

Medical Equipment Billing Rep (DME)-FT Dayton, Ohio

Premier Health • Dayton, OH, US
serp_jobs.job_card.full_time
Senior Account Representative (DME).The Senior Account Representative is responsible for billing services / charges to the appropriate payer, as well as validation of receipt of electronic and hard c...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Compensation Specialist

Compensation Specialist

MRINetwork Jobs • Dayton, OH, US
serp_jobs.job_card.full_time
Opportunity Spotlight – Compensation & Total Rewards Specialist | Dayton, OH.IT, professional, environmental, and research & development services. They’re known for their commitm...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted