Source Job

US

  • Investigates and analyzes Motor Vehicle Accident accounts.
  • Identifies and coordinates insurance benefits, resolving outstanding balances.
  • Acts as a liaison between clients, attorneys, and insurance companies.

Collections Customer Service Claims Processing Communication

20 jobs similar to Revenue Specialist, Third Party Claims, MVA

Jobs ranked by similarity.

Global

  • Responsible for the first-stage handling of vehicle damage and accident incidents.
  • Gathers, verifies, and organizes critical information from customers, drivers, and internal field teams.
  • Ideal candidate is an excellent communicator, calm under pressure, detail-oriented.

DriveWhip is a mobility provider in the Washington, DC area and other cities which leases/rents vehicles to Uber, Lyft and other On-Demand or Rideshare drivers. As a ground floor member of an exciting new company all associates will be tasked with a variety of responsibilities.

US 4w PTO

  • Receive and resolve patient correspondence regarding insurance billing.
  • Answer all correspondence relating to billing questions.
  • Verify insurance status, eligibility and general account information.

MANA Administration provides support services for 27 physician-owned medical practices in Northwest Arkansas. Their Administrative team are independent and work together, to help their physicians and clinics provide compassionate, comprehensive, quality health care while maintaining a healthy work-life balance.

US

  • Exercises a high degree of control over confidential medical information.
  • Keeps current with changing billing requirements and shares pertinent information with billing team members.
  • Analyzes and initiates corrective action for patient claims.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.

$55,000–$127,000/yr
US

  • Investigate and determine whether medical insurance claims are recoverable from a liable third party.
  • Communicate and negotiate with healthcare plan members, insurance adjusters, and attorneys.
  • Utilize computer systems to accurately document collected information.

Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. With over 85 health plans and 270 million lives represented, we bring together a configurable, AI-powered platform along with expertise.

US

  • Prepare documentation, review claim history, and investigate requests.
  • Utilize available resources to investigate claim situations for cases.
  • Follow-up with responsible departments and delegated entities to ensure compliance.

Centivo is an innovative health plan for self-funded employers, aiming to provide affordable, high-quality healthcare. They work with employers ranging in size from 51 employees to Fortune 500 companies and are headquartered in Buffalo, NY with offices in New York City and Buffalo.

US

  • Provides billing support for the Sandstone Care billing team.
  • Responsible for verification of benefits, billing data, claims submission, claim corrections, claim re-submissions, claim follow up and appeals.
  • Generates revenue by making payment arrangements, collecting accounts, monitoring and pursuing delinquent accounts.

Sandstone Care is committed to providing accessible, affordable, and high-quality mental health and addiction treatment services. They strive to create a diverse and inclusive workplace where all employees feel valued, respected, and empowered.

  • Responsible for complete, accurate and timely processing of all designated claims.
  • Investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
  • Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership.

US

  • Manage the insurance claims process and provide customer service to clients.
  • Analyze and approve claims and determine coverage based on medical necessity.
  • Resolve discrepancies, secure proper reimbursement, and follow regulations and guidelines.

CommuniCare Family of Companies delivers person-centered care as a national leader in post-acute care. They operate over 150 facilities, employing more than 19,000 employees across six states, and are dedicated to improving the lives of seniors.

$36,635–$58,616/yr
Canada

  • Investigate, evaluate, analyze, negotiate, and settle residential property claims.
  • Maintain ongoing communication and status updates to customers until file closure.
  • Determine appropriate settlement amount based on independent judgment and estimates.

Max Insurance is an insurance carrier focused on providing customer experiences to Canadians. They are looking for smart, motivated claims professionals to join their energetic and rapidly growing team where they emphasize flexibility & benefits.

US

  • Oversee a team of Claims Analysts and outsourced vendor staff.
  • Ensure team meets quality, production, and service expectations.
  • Address complex claims and customer service inquiries.

Jobgether is a platform that uses AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify top-fitting candidates and share the shortlist with the hiring company, while not replacing human judgement in the final hiring decisions.

US

  • Ensure accurate Accounts Receivable positions via collections, credit, research & analysis.
  • Establish appropriate credit limits by analyzing DSO and external credit risk management tools.
  • Ensure prompt payment of assigned accounts through telephone, email, and written communication.

FUJIFILM Healthcare Americas Corporation innovates for a healthier world with cutting-edge healthcare solutions, including diagnostic imaging and in-vitro diagnostics. They have over 70,000 employees across healthcare, electronics, business innovation, and imaging, guided by their Group Purpose of “giving our world more smiles.”

US

  • Review EMRs to resolve patient inquiries and conduct insurance verification.
  • Handle a high volume of patient telephone calls and provide excellent customer service.
  • Document calls, resolve patient inquiries, and perform other assigned duties.

Stony Brook CPMP provides comprehensive healthcare services. While the employee count is not mentioned, they focus on delivering high-quality patient care and maintaining a supportive work environment.

$115,000–$125,000/yr
US

  • Communicate effectively with customers to resolve payment issues and negotiate payment terms.
  • Monitor accounts receivable portfolio ensuring timely payments and reduce outstanding receivables.
  • Develop and implement policies and procedures for collections to minimize bad debt.

Acumatica is a leading innovator in cloud ERP (Enterprise Resource Planning) solutions with growing businesses worldwide. Our industry-specific business management solution is engineered to address real-world needs—featuring intelligent workflows and market-leading usability. Acumatica's culture is collaborative and high-energy.

Canada

  • Process medical claims, resolve issues, and provide billing assistance.
  • Respond to inquiries promptly and coach physicians on OHIP billing.
  • Work individually and as a team to deliver a positive experience.

RBCx empowers tech trailblazers to compete harder and grow faster by leveraging RBC's experience, network, and capital. With four pillars – Banking, Capital, Platform, and Ventures – they aim to be the go-to backer of Canadian innovation and were named one of the 100 Best Workplaces for Innovators by Fast Company in 2020.

US

  • Lead the IVS team by providing daily guidance and training.
  • Develop collaborative relationships with insurance companies to verify benefits and eligibility.
  • Work collaboratively with the RCM, finance, accounting, admissions, and utilization management departments.

Equip is a virtual, evidence-based eating disorder treatment program ensuring everyone with an eating disorder can access treatment. Founded in 2019, Equip has been a fully virtual company since its inception and is proud of its highly-engaged, passionate, and diverse team.

US

  • Manage multiple channel interactions professionally and efficiently.
  • Effectively present products/services to providers with integrity, understanding, and accuracy.
  • Focus on provider retention through first call resolution and maintain positive relationships.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.

$20–$22/hr
US

  • Responsible for monitoring and collection of outstanding invoices through direct contact and follow-up with each partner and client as assigned and pursuant to firm policy to ensure timely remittance.
  • Generate and/or revise monthly client reminder statements as outlined pursuant to firm policy and departmental procedures.
  • Provide reports reflecting accounts receivable analyses, DSO, potential and existing bad debt reserves, agreed upon metrics and key performance indicators based on established frequency or as requested.

Williams Lea by RRD provides business support services. They specialize in administrative support, document production, presentation design, and marketing/communications, serving legal, financial, and professional services industries with thousands of employees globally.

US 3w PTO

  • Review, analyze, and process moderately complex to complex workers compensation claims.
  • Make decisions about liability/compensability and negotiate settlements.
  • Manage an inventory of commercial property/casualty claims.

Liberty Mutual is a fast-growing company that consistently outpaces the industry in year-over-year growth. They offer comprehensive benefits, flexible workplace options, and professional development in an inclusive environment where everyone can thrive.

$40,576–$60,864/yr
Europe

  • Receive and respond to telephone, email, web and other customer, country and patient inquiries.
  • Enter new customer information in Salesforce.
  • Appropriately field calls for payment collection or reimbursement and billing and process them.

Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics.

US

  • Be responsible for department quality audit process related to service standards, adherence to procedural, regulatory and financial requirements.
  • Review the referral of, submit, monitor and track all subrogation referrals receive by the Claim department and forwarded to external vendors.
  • Handle overpayment, check void and refunds, including maintenance of the overpayment log.

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With its entrepreneurial culture and a strong emphasis on analytics, they can help employers better manage their risk.