Insurance Claims Specialist Cardiovascular Institute of the SouthInsurance Claims SpecialistHouma, LouisianaCardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.
Workers' Compensation Claims Specialist (TX, LA, MS, AZ) HMA Group HoldingsWorkers' Compensation Claims Specialist (TX, LA, MS, AZ)LouisianaWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
Insurance Claims Specialist Cardiovascular LogisticsInsurance Claims SpecialistHouma, LAPart timeCardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.
Workers' Compensation Claims Specialist (TX, LA, MS, AZ) Holmes MurphyWorkers' Compensation Claims Specialist (TX, LA, MS, AZ)LouisianaWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
Claims Specialist- Liab Crawford & CoClaims Specialist- LiabNew Orleans, LAVerifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistLARemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Senior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team LeadLARemote$156,000–$187,500 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Qualifications / Experience Required: A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through: A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
Senior Environmental Technical Claims Specialist Argo Group International Holdings IncSenior Environmental Technical Claims SpecialistLA$99,200–$118,100 / yearAlternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C.
Benefits Administration - CW Claims Specialist II MindlanceBenefits Administration - CW Claims Specialist IIBaton Rouge, LANecessary Contacts: To effectively fulfill this position, Claims Specialist II must be in contact with personnel in other Units: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. " High School Diploma or equivalent required Work Experience " 2 years in medical claims processing required " Coordination of Benefits (COB) processing experience preferred Skills and Abilities " Strong analytical ability, that includes strong logical, systemic, and investigates thinking.
Claims Specialist The American Equity UnderwritersClaims SpecialistMetairie, LAAs an industry leader in U.S. Longshore and Harbor Workers' Compensation (USL&H), AEU also provides state act workers' compensation, Maritime Employers' Liability (MEL), marine general liability, and automobile liability for waterfront employers. AEU provides services such as claims handling, loss control, and underwriting, as well as longshore consulting and leadership training to help businesses protect their people and manage risk with confidence.
Senior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistWork At Home, LA$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
Claims Resolution Specialist - Part Time Viemed Healthcare IncClaims Resolution Specialist - Part TimeLafayette, LAEstablishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient's benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Claims Resolution Specialist Viemed Healthcare IncClaims Resolution SpecialistLafayette, LAEstablishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient's benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Claims Resolution Specialist - Part Time VieMed CareersClaims Resolution Specialist - Part TimeLafayette, LouisianaEstablishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient’s benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Claims Resolution Specialist VieMed CareersClaims Resolution SpecialistLafayette, LouisianaEstablishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient’s benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Claims Resolution Specialist Sleep Management, LLCClaims Resolution SpecialistLafayette, LAPart timeEstablishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient’s benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Claims Resolution Specialist - Part Time Sleep Management, LLCClaims Resolution Specialist - Part TimeLafayette, LAPart timeEstablishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient’s benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheBaton Rouge, LA$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, LA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerBaton Rouge, LARemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Patient Account Specialist Senior-onsite Sigma IncPatient Account Specialist Senior-onsiteLake Charles, LAProvides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA's business objectives Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to their area of operation. This involves performing collection activities related to follow-up and account resolution, and includes communication to patients, clients, reimbursement vendors, and other external entities while adhering to all client, state and federal guidelines.
Revenue Cycle Specialist InfinxRevenue Cycle SpecialistAlexandria, LAPart timeMany of ACS Clients' accounts require team effort while other accounts may require independent workers to complete all aspects of the billing process. If you are a dedicated and experienced Revenue Cycle Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.
Medical Billing Office Specialist Pathology Group of LouisianaMedical Billing Office SpecialistBaton Rouge, LAAt Pathology Group of Louisiana, our mission is to provide the finest quality pathology services to patients, referring physicians, outpatient surgery centers and hospitals with the greatest accuracy in the most cost-effective manner as rapidly as possible. • Work the Demographic Queue to verify and update patient personal and payer-related information prior to claim creation and submission, ensuring accurate billing data and minimizing insurance rejections and denials.
Benefits Specialist - Insurance (Only current CPSB Employees my apply) (3 Positions) Caddo Parish Public SchoolsBenefits Specialist - Insurance (Only current CPSB Employees my apply) (3 Positions)Shreveport, LAAdvanced proficiency in Microsoft Office, with a strong emphasis on Excel for data analysis, including PivotTables, XLOOKUP/VLOOKUP, complex formulas, and data auditing tools to analyze, reconcile, and validate large datasets, identify discrepancies, and support accurate reporting. Administer life insurance claims for active employees and retirees, including verifying coverage, coordinating documentation, and communicating with beneficiaries, insurance carriers, and funeral homes to ensure timely and accurate claim processing.
Revenue Cycle Specialist TIS International (USA) IncRevenue Cycle SpecialistNew Orleans, LARemoteMany of ACS Clients accounts require team effort while other accounts may require independent workers to complete all aspects of the billing process. If you are a dedicated and experienced Revenue Cycle Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.
Billing Specialist Omega HospitalBilling SpecialistMetairie, LAThe Billing Specialist is responsible for collecting, posting, and managing patient account payments. Address and resolve any billing discrepancies or inquiries from patients and insurance companies.
NewPatient Account Specialist Lead - TLRA Insurance CHRISTUS HealthPatient Account Specialist Lead - TLRA InsuranceLake Charles, LAThis involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
FAC SPECIALIST - FINANCIAL ASSISTANCE CENTER North Oaks Health SystemsFAC SPECIALIST - FINANCIAL ASSISTANCE CENTERHammond, LASummary: Provides best-in-class customer service, has empathy and compassion, responds to patient complaints and concerns while remaining focused on providing a positive patient experience. Continuously stay abreast of new billing, collecting and coding regulations, as well as federal and state regulations, by utilizing appropriate materials, Internet resources, seminars, conferences and/or other resources available.
NewPatient Account Specialist Senior-TLRA Insurance CHRISTUS HealthPatient Account Specialist Senior-TLRA InsuranceLake Charles, LAEnsures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines.
NewPatient Account Specialist Senior TEEMA GroupPatient Account Specialist SeniorLake Charles, LA$20–$25Comprehensive Account Management: Manage both active Accounts Receivable (AR) and Bad Debt (BD) inventory, ensuring all documentation is accurate and compliant with state and federal guidelines. This role is perfect for a detail-oriented professional who enjoys solving financial puzzles and advocating for proper reimbursement through professional communication with payers, patients, and vendors.
Medical Billing Specialist Staffmark Group LlcMedical Billing SpecialistAlexandria, LAReviews and corrects unbilled claims, monitors accounts receivable, rebills when necessary, and follows up on past due accounts with patients or payers. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners.
AR Specialist InfinxAR SpecialistNew Orleans, LAFull timeCandidates must be experienced working natively in client source systems and must be capable of billing claims directly to payers include Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels. Submit clean claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels, working natively in client EHR and billing systems rather than exclusively via clearinghouse.
Patient Account Specialist Senior \ 1315 Paladin Consulting, Inc.Patient Account Specialist Senior \ 1315Lake Charles, LA$21.33–$21.33 / hourThis involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. "Maintains active, working knowledge of payer claims processing and appeal procedures, provider contracts with insurances and third-party payers, and different payment methodologies.
WORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2 State Of LouisianaWORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2Houma, LA$2,732–$4,682The Workers' Compensation Dispute Resolution Specialist will provide support services to the Workers Compensation (WC) Judge, conduct research, as well as prepares summaries, to assist the Judge and Mediator in evaluating the legal and factual issues presented in Workers Compensation disputes. The Office of Workers' Compensation Administration (OWCA) in Louisiana oversees the enforcement and administration of workers' compensation laws, aiming to support early return-to-work efforts and improve workplace safety.
Garrison Safety Specialist 1, 2, or 3 State Of LouisianaGarrison Safety Specialist 1, 2, or 3New Orleans, LA$35,734–$50,997 / yearResponsible for assessing risk to insurable in agencies and departments and assisting/training agency personnel in establishing, implementing and maintaining the States statutory Loss Prevention Programs. Responsible for providing quarterly safety trainings (1 per quarter) and meetings (2 per quarter) which are to include all above agency personnel including AGR and state employees at Belle Chasse.
AR Specialist TIS International (USA) IncAR SpecialistNew Orleans, LACandidates must be experienced working natively in client source systems and must be capable of billing claims directly to payers include Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels. Submit clean claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels, working natively in client EHR and billing systems rather than exclusively via clearinghouse.
Coding Specialist InfinxCoding SpecialistNew Orleans, LouisianaThe Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution.
Inbound Logistics Specialist Slb NVInbound Logistics SpecialistShreveport, LAWe will endeavor to make a reasonable accommodation / modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal, state, and local law. Global in outlook, local in practice - and with a united, shared passion for discovering solutions, we hire talented, driven people and support them to succeed, personally and professionally.
Coding Specialist TIS International (USA) IncCoding SpecialistNew Orleans, LAThis marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S. Summary Description: The Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution.
Inbound Logistics Specialist SchlumbergerInbound Logistics SpecialistShreveport, LACALIFORNIA APPLICANTS ONLY: I understand the Company may obtain, without using the services of a third party investigative consumer reporting agency, public records pertaining to my character, general reputation, personal characteristics, or mode of living during its evaluation of my application for employment and, if employed, during my employment. 2. REASONABLE ACCOMMODATIONS The Company will endeavor to make a reasonable accommodation / modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal, state, and local law.
Biller/Collector Specialist Central Louisiana Surgical HospitalBiller/Collector SpecialistAlexandria, LAIn addition, Position is responsible for working the accounts receivable to collect outstanding balances from insurance companies and patients to include working all claim denials, appeal of improper payments and resolution of credit balances. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms.
Senior Quality Specialist CVS Health CorpSenior Quality SpecialistWork At Home-Louisiana, LA$18.50–$38.82 / hourActs as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.
Client Specialist First Horizon CorpClient SpecialistLake Charles, LAHeadquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. Additionally, the qualifications listed below are representative of the knowledge, skills, and/or abilities required in this position: High school diploma or equivalent and 2-4 years of experience or equivalent combination of education and experience.
Collections Specialist Oceans HealthcareCollections SpecialistLafayette, LAPerforms follow up activities by telephone or electronic inquiry on accounts with outstanding third party payer balance to determine status of claims in accordance with payer specific follow-up guidelines. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
NewPatient Financial Specialist - Ambulatory Surgery Center CHRISTUS HealthPatient Financial Specialist - Ambulatory Surgery CenterLake Charles, LAActs as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor. Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
Customer Onboarding Specialist, Enterprise | Gulf Coast EvenUp IncCustomer Onboarding Specialist, Enterprise | Gulf CoastBaton Rouge, LAWe only post open roles on our career page (evenuplaw.com/careers) or reputable job boards like our official LinkedIn or Indeed pages, and all official EvenUp recruitment emails will come from the domains @evenuplaw.com, @evenup.ai, • Cross-Functional Coordination & Feedback Integration: Collaborate closely with Account Executives (AEs), Customer Success Managers (CSM), Product, Legal/Medical Operations, and Engineering teams to ensure customer requirements and feedback are promptly addressed.
Billing Specialist SWLA CENTER FOR HEALTH SERVICESBilling SpecialistLake Charles, LAJob Title: Billing Specialist Department: Finance Supervised By: Billing Supervisor Status: Full-Time Work Site: Lake Charles, Lafayette, or Crowley. Assist front office with billing and account inquiring, including but not limited to voiding payments posted in error and patient account inquiries.
NewBiller/Collections Specialist Carpenter Health NetworkBiller/Collections SpecialistBaton Rouge, LAPerform account receivable follow-up activities to secure payment on outstanding accounts, including patient statements. Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers.
Patient Registration Specialist Option Care Health IncPatient Registration SpecialistNew Orleans, LA$17.02–$28.38 / hourJob Description Summary: The Specialist, Patient Registration is responsible for facilitating new patient's transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care. Secures patient's upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
Community Outreach and Engagement Specialist CareSouthCommunity Outreach and Engagement SpecialistBaton Rouge, LASUMMARY: The Community Outreach and Engagement Specialist (COES) will play a pivotal role in growing awareness of CareSouth's services and healthcare providers within our communities, with a particular focus on expanding our patient population. 3 – 5 years of experience in community-based programs and health, event coordination, communications, community outreach and engagement with diverse populations, community organizing and creating content for flyers, website, social media, etc.