3241 claims jobs found

Job Description Job Description Job Summary: We are seeking a detail-oriented Medical Billing Specialist to join our healthcare team. The ideal candidate will be responsible for processing medical claims, following up on unpaid and denied claims, posting payments, and ensuring timely and accurate reimbursement from insurance carriers and patients. Key Responsibilities Review, correct, and submit medical claims to insurance payers. Follow up on unpaid, denied, and rejected claims to maximize reimbursement. Communicate with patients, insurance companies, and government payers regarding billing inquiries. Post insurance and patient payments accurately to patient accounts. Calculate and post contractual adjustments, write-offs, credits, and debits. Maintain accurate patient account records and billing documentation. Meet established productivity and quality standards. Perform other billing-related duties as assigned. Qualifications High School...

Concord Hospital is seeking a Patient Financial Services Billing Representative responsible for accurate and timely billing and follow-up of hospital and professional claims to third-party payers and patients, ensuring compliance with federal, state, and payer requirements while maximizing reimbursement and delivering excellent customer service. The role requires a high school diploma or GED, strong computer skills (Microsoft Office, billing software), and excellent analytical, organizational, #J-18808-Ljbffr

Alaska Native Tribal Health Consortium in Anchorage is seeking an Insurance Claims Clerk responsible for preparing and submitting insurance claims and ensuring accurate billing. Under close supervision, you will review accounts, verify codes, and post payments using our medical billing systems. The role emphasizes attention to detail, ability to work with multiple payers, and timely data entry. A high school diploma and at least three years of medical billing experience are required, along with #J-18808-Ljbffr

HUMBLE VASCULAR SURGICAL CENTER INC is seeking a billing specialist to manage medical claims and support audits across our network. You will help audit rejections, monitor onboarding of new centers, and ensure correct coding for procedures. This role requires attention to detail, collaboration with facilities, maintenance of billing guides, and resolving discrepancies to secure timely reimbursement. #J-18808-Ljbffr

Optum is a global health services company delivering care through technology to help people live healthier lives. This full-time position involves provider education via phone and email on coding and documentation guidelines, and auditing outpatient claims for accuracy. The role is remote from anywhere in the United States, with CST hours 8:00 AM–4:00 PM and occasional overtime. Required are CPC/COC/AHIMA/AAPC credentials and 2+ years of medical coding/auditing experience. #J-18808-Ljbffr

Providence Swedish is seeking a claims billing specialist to prepare, edit and submit insurance claims to Medicare, Medicaid, L&I, VA, and other regulators. You will review edits in EPIC and scrubber systems to ensure accuracy, identify recurring coding errors, and assist in problem solving for clean claims. The role requires formal medical terminology/coding training or equivalent on-the-job experience, plus at least one year in hospital regulatory billing. #J-18808-Ljbffr

Ketchikan-Indian-Community (KIC) seeks a Billing Clerk to ensure accurate and timely preparation and submission of third-party claims for the KIC Tribal Health Clinic. You will interact with multiple departments and outside agencies to optimize reimbursement and maintain compliance with privacy laws. Knowledge of medical terminology and ICD-10-CM/CPT/CDT/HCPCS codes is required, along with strong communication and confidentiality. #J-18808-Ljbffr

Pampa Regional Medical Center is seeking a full-time Biller for its Rural Health Clinic in Pampa, Texas. The role involves submitting claims, coding accuracy, and authorizations to support Medicare and Medi-Cal billing processes. The ideal candidate has prior clinic billing experience, knowledge of government payer programs, and proficiency with EMR/Practice Management software. Strong communication and organizational skills are essential for success in this role. #J-18808-Ljbffr

Noland Health Services, Inc. is seeking a Billing/Accounts Receivable specialist to manage the full cycle of insurance billing and collections for patients/residents. You will file claims, follow up on unpaid balances, communicate with patients and insurers, and maintain account documentation. The role involves handling remittances from major payors and performing general office duties to support the billing office. Prior experience in a medical business office is preferred. #J-18808-Ljbffr

Prime Therapeutics is seeking a Pharmacy Claims Auditor to work remotely. You will analyze large datasets, perform risk-based auditing, and support contract compliance across the network. Responsibilities include sampling, reviewing claims against contracts, and educating pharmacies on compliance. The role emphasizes data-driven decision making and collaboration with Prime and clients. #J-18808-Ljbffr

UnitedHealth Group seeks a Medical Coding Auditor to verify claims against medical records, ensuring accuracy and compliance in a remote work setting. You will review CPT/HCPCS coding, determine service levels, and prepare detailed narratives for complex cases. The role requires AHIMA/AAPC certification with several years of coding and medical record review experience, and the ability to work independently in a production-driven environment while meeting quality standards. #J-18808-Ljbffr

A health care provider in Doctor Phillips is seeking a knowledgeable Billing Specialist. In this role, you will process billing claims using software, verify insurance, and maintain compliance with regulations. Candidates need 4-6 years of experience in medical collections and a high school diploma. Key skills include attention to detail and excellent communication. This position offers medical benefits and paid time off, allowing you to work in a supportive environment while contributing to community health care. #J-18808-Ljbffr

Dialysis Clinic, Inc. in Nashville is seeking a Billing Specialist to manage patient account billing, claims processing, and collections in a fast-paced healthcare environment. You will create billable charges, follow up on claims, and maintain accurate records. Strong Excel and Word skills, excellent communication, and attention to detail are required. This full-time role offers comprehensive benefits and a supportive team dedicated to nonprofit kidney care. #J-18808-Ljbffr

Timonium Surgery Center is seeking a Medical Billing Specialist to oversee the full billing cycle for patient accounts, from submitting bills to insurance to coordinating with the coding specialist for accurate coding and monthly audits. Key duties include submitting electronic claims, posting payments, handling denials, contacting insurers for collections, and monitoring AR aging. Requires 3+ years in medical billing, strong CPT terminology knowledge, and HIPAA awareness. #J-18808-Ljbffr

A health care provider in Doctor Phillips is seeking a knowledgeable Billing Specialist. In this role, you will process billing claims using software, verify insurance, and maintain compliance with regulations. Candidates need 4-6 years of experience in medical collections and a high school diploma. Key skills include attention to detail and excellent communication. This position offers medical benefits and paid time off, allowing you to work in a supportive environment while contributing to community health care. #J-18808-Ljbffr

Independent Health is seeking a claims adjudication specialist to review and process medical, facility, professional, member-submitted, pharmacy and dental claims. You will adjudicate based on policies, examine payments, and resolve related issues. Required are a high school diploma (medical office certificate or college degree preferred) and at least 6 months of medical claims processing experience, with CPT/ICD-9 coding knowledge and proficiency in data entry and Microsoft Office. #J-18808-Ljbffr

UnitedHealth Group seeks a Medical Coding Auditor to verify claims against medical records, ensuring accuracy and compliance in a remote work setting. You will review CPT/HCPCS coding, determine service levels, and prepare detailed narratives for complex cases. The role requires AHIMA/AAPC certification with several years of coding and medical record review experience, and the ability to work independently in a production-driven environment while meeting quality standards. #J-18808-Ljbffr

Wilson Health is seeking a Billing Specialist in Sidney, Ohio to join the Patient Accounting Department. The role focuses on releasing insurance claims electronically and mailing hard copies as needed, while following up on unpaid claims and appealing denials when required. The position requires experience with EPIC EHR and Medicare facility billing, plus strong knowledge of CPT/ICD-10 codes. On-site with hybrid option, Monday–Friday, first shift responsibilities. #J-18808-Ljbffr

Family Health Centers of Southwest Florida seeks a Billing Specialist to ensure accurate submission of claims for Medicare, Medicaid, and commercial payers. You will review records, apply CPT/HCPCS/ICD-10 codes, and handle patient billing questions in a fast-paced clinical environment. The ideal candidate has medical billing experience, familiarity with ambulatory care systems, and strong attention to detail. This role offers full-time hours at our Fort Myers campus with competitive benefits. #J-18808-Ljbffr

Optum in the United States is seeking a Medical Coding Auditor to determine the accuracy of provider claims by comparing them to the medical records for the dates of service reviewed. The role involves identifying waste and errors in health insurance claims, exercising judgement on complex payment decisions, and ensuring documentation complies with state and government guidelines. Strong data interpretation skills are essential to succeed. #J-18808-Ljbffr

Hudson Regional Hospital in Secaucus, NJ is seeking a Medical Billing Clerk to handle electronic and paper bill submissions, process workers' compensation and third-party claims, and ensure clean claim submissions. You will verify eligibility and benefits, resolve billing errors, monitor denials and payment fluctuations, and maintain accurate documentation while upholding HIPAA and hospital policies. #J-18808-Ljbffr

Medical Billing (Claims) Supervisor Job Category: Operations Requisition Number: MEDIC002343 Full-Time On-site Salary: $60,000 USD per year High Point, NC 27265, USA Description Make a Meaningful Impact Every Day At GT Independence, people are at the heart of everything we do. If you thrive in a collaborative environment, love what you do, and are eager to grow, you're in the right place. Discover a career where your work genuinely improves lives and supports a mission that matters. Our Mission To help people live a life of their choosing, regardless of age or ability. GT Independence has earned multiple awards for being an exceptional workplace, including being named a 2026 National "Best and Brightest Companies to Work For." We are also proudly certified as a Great Place to Work® for 2025/2026 —a distinction reserved for top employers committed to outstanding employee experiences. The Medical Billing (Claims) Supervisor is responsible for the supervision, training...

Medical Billing (Claims) Supervisor Job Category: Operations Full-Time On-site Salary: $60,000 USD per year Location: Silver Spring, MD 20910, USA Description Make a Meaningful Impact Every Day At GT Independence, people are at the heart of everything we do. If you thrive in a collaborative environment, love what you do, and are eager to grow, you're in the right place. Discover a career where your work genuinely improves lives and supports a mission that matters. Our Mission To help people live a life of their choosing, regardless of age or ability. GT Independence has earned multiple awards for being an exceptional workplace, including being named a 2026 National "Best and Brightest Companies to Work For." We are also proudly certified as a Great Place to Work® for 2025/2026 —a distinction reserved for top employers committed to outstanding employee experiences. The Medical Billing (Claims) Supervisor is responsible for the supervision, training and...