Cincinnati, OH · On-site +1
$17.25 - $22.75/hr
... claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers. LOCATION AND YEARS OF EXPERIENCE: While the position is ...
Cincinnati, OH · On-site +1
$17.25 - $22.75/hr
... claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers. LOCATION AND YEARS OF EXPERIENCE: While the position is ...
Miami, FL · On-site
$88K - $114K/yr
Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS, APG, Capitation, etc.) required. * Must ...
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Miami, FL · On-site
$88K - $114K/yr
Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS, APG, Capitation, etc.) required. * Must ...
Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication. * Document and maintain claim processing instructions and workflows to ensure ...
Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication. * Document and maintain claim processing instructions and workflows to ensure ...
Birmingham, AL · On-site
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Birmingham, AL · On-site
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Quick apply
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while ...
Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while ...
Allen Park, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Allen Park, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Louisville, KY · On-site
$21/hr
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...
Louisville, KY · On-site
$21/hr
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...
The Senior Pharmacy Technician supports various aspects of pharmacy operations, including prescription order entry, claim adjudication, medication preparation and dispensing, distribution, non ...
The Senior Pharmacy Technician supports various aspects of pharmacy operations, including prescription order entry, claim adjudication, medication preparation and dispensing, distribution, non ...
Cincinnati, OH · On-site +1
$17.25 - $22.75/hr
... claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers. LOCATION AND YEARS OF EXPERIENCE: While the position is ...
Cincinnati, OH · On-site +1
$17.25 - $22.75/hr
... claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers. LOCATION AND YEARS OF EXPERIENCE: While the position is ...
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Actively manage inventory and ongoing claim adjudication. * Effectively communicate with customers using empathy and professionalism via phone and written correspondence. * Interface with ...
Actively manage inventory and ongoing claim adjudication. * Effectively communicate with customers using empathy and professionalism via phone and written correspondence. * Interface with ...
Birmingham, AL · On-site
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
Birmingham, AL · On-site
Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...
The Senior Pharmacy Technician supports various aspects of pharmacy operations, including prescription order entry, claim adjudication, medication preparation and dispensing, distribution, nonsterile ...
The Senior Pharmacy Technician supports various aspects of pharmacy operations, including prescription order entry, claim adjudication, medication preparation and dispensing, distribution, nonsterile ...
Troy, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Troy, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Standard Business hours Job Summary The Authorization Specialist supports the Claims Operations team throughout the claim adjudication process. This role is responsible for reviewing claims ...
Quick apply
Standard Business hours Job Summary The Authorization Specialist supports the Claims Operations team throughout the claim adjudication process. This role is responsible for reviewing claims ...
Glendale, CA · On-site
$85K - $105K/yr
Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS, APG, Capitation, etc.) required. * Must ...
Glendale, CA · On-site
$85K - $105K/yr
Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS, APG, Capitation, etc.) required. * Must ...
Auburn Hills, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Auburn Hills, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Wixom, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
Wixom, MI · On-site
$19 - $22/hr
Identifies non-complex claims for one-touch claim adjudication upon intake. * Determines the type and extent of loss and ensures the claim is consistent with all reported facts. * Reviews necessary ...
$13.94 - $15.25
4% of jobs
$15.25 - $16.56
6% of jobs
$16.56 - $17.88
14% of jobs
$17.97 is the 25th percentile. Wages below this are outliers.
$17.88 - $19.19
12% of jobs
The median wage is $20.07 / hr.
$19.19 - $20.50
21% of jobs
$20.50 - $21.81
14% of jobs
$22.32 is the 75th percentile. Wages above this are outliers.
$21.81 - $23.12
12% of jobs
$23.12 - $24.43
5% of jobs
$24.43 - $25.74
4% of jobs
$25.74 - $27.05
4% of jobs
$27.05 - $28.37
4% of jobs
$13
$21
$28
Cincinnati, OH • On-site, Remote
$17.25 - $22.75/hr
Other
Posted 10 days ago
6.8
Based on 143 frontline employees who took The Breakroom Quiz
485th of 872 rated healthcare providers
At UC Health we're proud to have the best and the brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
Under the direction of the Revenue Cycle Manager, the Patient Account Representative is responsible for monitoring insurance claims due to no response, pending response, denial and appeal, and proactively resolve balances billed to insurance carriers by way of accurate claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers.
LOCATION AND YEARS OF EXPERIENCE:
While the position is primarily remote (work from home), on occasion it may be required to work in a normal office environment or
travel to the various hospitals and work locations will be necessary. Work hours may vary from time to time depending upon the
needs of the business. Regular and predictable attendance is required for this position for both remote and in office duties
Minimum Required: High School Diploma or GED. Preferred: Associate's Degree. | LICENSE & CERTIFICATION: N/A. | Minimum Required: 3 - 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.
LOCATION AND YEARS OF EXPERIENCE:
While the position is primarily remote (work from home), on occasion it may be required to work in a normal office environment or
travel to the various hospitals and work locations will be necessary. Work hours may vary from time to time depending upon the
needs of the business. Regular and predictable attendance is required for this position for both remote and in office duties
DESCRIPTION FOR INTERNAL CANDIDATES:
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
Under the direction of the Revenue Cycle Manager and Supervisor, the Patient Account Representative is responsible for monitoring insurance claims due to no response, pending response, denial and appeal, and proactively resolve balances billed to insurance carriers by way of accurate claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers.
Get the full story on Breakroom
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We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it's a passion.
