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In this role, you will accurately process customer bills and insurance claims, assist with daily and month-end billing activities, answer questions, resolve billing issues, and help collect outstanding balances. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

Guardian Pharmacy Services Management

Pharmacy Billing Specialist

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How you will make an impact: Primary duties may include, but are not limited to: Audits paid claims for identified overpayments using various techniques, including systems-based queries, specialized reporting, or other research, to confirm recoverability and alignment with SOPs and business requirements. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

HOUR

Elevance Health

Financial Operations Recovery Specialist II

ADAPTED_NOW

As a Customer Service Specialist, you will be the frontline ambassador of our agency, interacting with clients, resolving inquiries, and ensuring their insurance needs are met with precision and care. Identify opportunities to upsell or cross-sell additional insurance products to meet clients' evolving needs.

Jon Meeks Farmers Insurance Agency

Customer Service Specialist

IdealTraits

What You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.

Onco360

Pharmacy Prior Authorization Specialist

Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

YEAR

Ovation Healthcare

Specialist, Accounts Receivable

Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.

First Chicago Insurance Company

Litigation Specialist

Will help train and mentor the Recovery staff within the department and be responsible for overall technical direction and production of recovery related activities of the team. Responsible for the initial review of recovery related Legal issues by facilitating the Allied Legal Referral form and following up with Allied Legal department.

Allied Solutions LLC

Recovery Specialist

Lundbeck LLC

Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. How you will make an impact: Communicating with insurance providers, healthcare teams, and patients to gather and confirm benefit information such as coverage, copays, deductibles, and authorization requirements.

Elevance Health Inc

Benefit Verification Specialist - BioPlus Specialty Pharmacy

Location: Hybrid1: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Credit & Collections Specialist Sr

Benefit Verification Specialist - Bioplus Specialty Pharmacy

Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage.

eCOB Specialist II

Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. How you will make an impact: Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage.

Ecob Specialist II

Position Overview: The Operations Support Specialist will work directly with Apple warranty customers, Apple, and our internal partners to find innovative service solutions to resolve issues & escalations. American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks.

<p><em>AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.</em></p>

American International Group Inc (AIG)

Operational Support Specialist

American International Group

Customer Support Specialist

FULL_TIME

Alerting customers on subrogation file details and options customers have Work with Reinsurance team members on any Stop Loss, including providing information to the reinsurance or aggregate carriers or to their attorney working the stop loss file. The subrogation agreement is with a subrogation attorney that assists our customer's health plan in determining third-party liability and subrogation, including coordination of benefits that includes all Med Pay, Personal Injury Protection (PIP), or no-fault coverage.

Unified Group Services Inc

Subrogation Specialist (onsite)

Talent Acquisition

Billing Specialist Rep BHS in Granger, IN - Careers at Beacon Health System - Jobs in Healthcare Billing Specialist Rep BHS in Granger, IN - Careers at Beacon Health System - Jobs in Healthcare. The Billing Specialist Representative is responsible for securing timely and accurate reimbursement by resolving billing issues with commercial and government payers.

Beacon Health System

Billing Specialist Rep BHS

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. A typical day in this role will include providing in-depth knowledge of our client programs by working directly with patients, healthcare providers, and insurance companies to answer inquiries, process service requests, assess benefits coverage, and manage through barriers, in a compliant manner, that stand in the way of patients and their access to therapy.

Valeris

Reimbursement Specialist

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. A typical day as a Bilingual Benefit Specialist will include providing in-depth knowledge of our client programs by working directly with patients, healthcare providers, and insurance companies to answer inquiries, process service requests, assess benefits coverage, and manage through barriers, in a compliant manner, that stand in the way of patients and their access to therapy.

Insurance Claims Specialist Jobs in Indiana

Pharmacy Billing Specialist Guardian Pharmacy Services Management

Financial Operations Recovery Specialist II Elevance Health

Customer Service Specialist Jon Meeks Farmers Insurance Agency

Pharmacy Prior Authorization Specialist Onco360

Specialist, Accounts Receivable Ovation Healthcare

Litigation Specialist First Chicago Insurance Company

Recovery Specialist Allied Solutions LLC

Specialist, Accounts Receivable Lundbeck LLC

Benefit Verification Specialist - BioPlus Specialty Pharmacy Elevance Health Inc

Credit & Collections Specialist Sr Elevance Health Inc

Benefit Verification Specialist - Bioplus Specialty Pharmacy Elevance Health

eCOB Specialist II Elevance Health

Ecob Specialist II Elevance Health

Operational Support Specialist American International Group Inc (AIG)

Customer Support Specialist American International Group

Subrogation Specialist (onsite) Unified Group Services Inc

Billing Specialist Rep BHS Beacon Health System

Reimbursement Specialist Valeris

Bilingual Spanish/English Benefit Specialist Valeris

Benefit Specialist (Evening Shift: 11:30 am - 8:00 pm) Valeris

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