Review and understand Insurance policies and standard Explanation of Benefits.Review and understand medical documentation effectively.
Review and resolve Back Collections related tasks, such as.Paym...Show moreLast updated: 12 days ago
Promoted
Field Claims Specialist-Workers' Compensation
Strategic CompLouisiana, United States, United States
Full-time
When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for i...Show moreLast updated: 30+ days ago
Promoted
Engineering Manager
GPACBroussard, LA, US
Engineering Manager – PEMB Systems & Structural Steel Construction.The Engineering Manager will lead a team of engineers in the design, development, and execution of projects involving Pre-Engineer...Show moreLast updated: 21 days ago
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Full-time
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Promoted
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United RentalsLafayette, LA, United States
If you'd like the chance to make your mark with the world's largest equipment rental provider,.As Branch Manager at United Rentals, you'll be the leader of a major business enterprise.You'll have t...Show moreLast updated: 17 days ago
Promoted
General Manager
Rotolos CarencroCarencro, LA, US
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Manager
BurgersmithLafayette, LA, US
$40,000.00–$50,000.00 yearly
Full-time
Position : Manager.Bonus : .Benefits : .Health insurance, elective HSA with company contribution, 401K, and life insurance, ...Show moreLast updated: 2 days ago
New!
Shift Manager
Wendy's103 CENTRE SARCELLE BLVD YOUNGSVILLE, LA 70592
Full-time
Families come in all shapes and sizes, that includes the Wendy’s family - the people you will work.As a Shift Manager, your role will be to guide and lead them.
We are seeking career-minded, motivat...Show moreLast updated: 5 hours ago
Promoted
Medical Claims Resolution Specialist
Staffmark GroupLafayette, LA, United States
$18.00 hourly
Full-time
Crack the Code to a Rewarding Career - Join Us as a Medical Claims Resolution Specialist in Lafayette, LA!.Are you a pro at deciphering EOBs, navigating insurance red tape, and chasing down claim r...Show moreLast updated: 30+ days ago
Promoted
Medical Claims Resolution Specialist
StaffmarkLafayette, LA, United States
$18.00 hourly
Full-time
Crack the Code to a Rewarding Career - Join Us as a Medical Claims Resolution Specialist in Lafayette, LA!.Are you a pro at deciphering EOBs, navigating insurance red tape, and chasing down claim r...Show moreLast updated: 29 days ago
Call Center and Claims Representative
HumanaRemote, Louisiana
Remote
Full-time
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 5 days ago
Claims Resolution Specialist
Advantage ResourcingLafayette, LA, US
$18.00 hourly
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Field Roof Inspector - Lafayette, LA
Hancock Claims Consultants TechniciansLafayette, LA, US
Permanent
Quick Apply
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501 CSAA Insurance Services, Inc.Louisiana, United States
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Senior Claims Specialist - LA & MS Workers' Compensation
GAIC Great American Insurance CompanyLouisiana, USA
$90,000.00–$100,000.00 yearly
Remote
Full-time
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We combine a "small company" ...Show moreLast updated: 30+ days ago
Promoted
Territory Manager
Butler Recruitment GroupLafayette, LA, US
$70,000.00–$90,000.00 yearly
Full-time
Quick Apply
This sales position will provide various types of industrial hardware directly to customers within a defined geographic territory through cold-calling and prospecting activities.Essential Duties an...Show moreLast updated: 25 days ago
Promoted
Field Claims Adjuster
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Full-time
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Manager
Rotolos YoungsvilleYoungsville, LA, USA
Quick Apply
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Claims Adjuster - Liability
SedgwickRemote, Louisiana, US
$50,000.00 yearly
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 30+ days ago
Review and understand Insurance policies and standard Explanation of Benefits.
Review and understand medical documentation effectively
Review and resolve Back Collections related tasks, such as
Denial appeals
Payment review and balance billing
Claims generation
Establishes and maintains effective communication and good working relationships with insurance carriers, patients / family, and other internal teams for the patient’s benefit.
Performs other clerical tasks as needed, such as
Answering patient / Insurance calls
Faxing and Emails
Communicates appropriately and clearly to Manager / Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
Other responsibilities and projects as assigned.
Requirements :
High School Diploma or equivalent
Knowledge of Explanation of Benefits from insurance companies
General knowledge of government, regulatory billing and compliance regulations / policies for Medicare & Medicaid
Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.
Utilizes initiative while maintaining set levels of productivity with consistent accuracy.
Experience :
3-5 Years in DME or medical billing experience preferred.
Minimum of 1 year of insurance verification or authorizations required.
Skills :
Superior organizational skills.
Proficient in Microsoft Office, including Outlook, Word, and Excel.
Attention to detail and accuracy.
Effective / professional communication skills (written and oral)
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.