Remote Jobs in Us

Last updated: 9 days ago

Medicaid/Medicare Billing Specialist

Hudson Regional HospitalClifton, NJ, US

Full-time

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO’s.Monitor the progress of insurance claims from submission to paym... Show more

Arby's Cashier

Pilot Companysaugatuck, mi, us

$16.53 hourly

Full-time +1

Pay Rates Starting between: $13.Are you passionate about team building, customer service, and meeting new people? Pilot Company offers a dynamic environment where no two days are the same.Team... Show more

Remote Product Tester – $45/hr + Free Products – Start Now!

OCPAPiney View, West Virginia, us

$15.00 hourly

Remote

Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

Get Paid to Test Products at Home – Flexible Hours, Weekly Pay

OCPABluewell, West Virginia, us

$15.00 hourly

Part-time +1

In-Home Product Tester – No Fees, No Experience, $25-$45/hr

OCPAMonongah, West Virginia, us

$15.00 hourly

Part-time +1

Remote Product Tester – $45/hr + Free Products – Start Now!

OCPAGarrison, Texas, us

$15.00 hourly

Remote

Part-time +1

Part Time - Work from Home - Online Product Tester - No experience ($25-$45 per hour)

OCPAFriendship, Tennessee, us

$25.00 hourly

Remote

Part-time +1

CNA - Full Green Card Sponsorship

Flint Healthcare, IncJelm, Wyoming

Full-time

Welcome to the US Visa Sponsorship Program by Flint Healthcare, Inc.Please fill in your details so we can assess your fit and reach out to you for an interview should you qualify.We are seeking a c... Show more

Work From Home Customer Support Agent – Flexible Schedule

Turbotax USAGarden City, Kansas

$24.00 hourly

Remote

Full-time

Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an ... Show more

TurboTax Customer Support Agent - Remote ($24 per hour plus Bonus)

TurboTaxBrookfield, Illinois

$24.00 hourly

Remote

Full-time

Assistant Machine Operator (Overnights)

ProAmpacGranite City, IL, US

Full-time

ProAmpac Granite City is looking for an Assistant Machine Operator to join the team and make an impact.Enjoy a Rotating PM work week and start an exciting career with a global company!.ProAmpac is ... Show more

Dishwasher - BOH

Roosters WingsWilmington, OH, US

Full-time

Many of our managers started right where you could, as hourly team members.As a Roosters Dishwasher, you’ll be the backbone of our kitchen, ensuring everything is clean, safe, and ready for action:... Show more

Remote Customer Service Sales

HMG CareersMountain View, California

$69,000.00 yearly

Remote

Full-time

Quick Apply

This full-time position offers flexible work hours and ample opportunities for advancement into management roles.You will work remotely to serve clients and offer valuable advice and protection to ... Show more

Receptionist

TradeJobsWorkforce78467 Corpus Christi, TX, US

Full-time

We have an opening for a talented Receptionist to gain knowledge of company offerings to better serve clients, assist with processing returns and exchanges, and respond promptly to inquiries and re... Show more

Administrative Aide

TradeJobsWorkForce90042 Los Angeles, CA, US

Full-time

Answer phones and greet visitors Schedule appointments and maintain calendars Schedule and coordinate staff and other meetings Collate and distribute mail Prepare communications, such as memos, ema... Show more

Late Night Team Member

Carrols CorporationDenton, TX, US

Part-time

You are applying for work with a franchisee of Taco Bell, not Taco Bell Corp.If hired, the franchisee will be your only employer.Franchisees are independent business owners who set their own wage a... Show more

Warehouse Administrator / Forklift Driver

ISS Recruitment & HR ServicesUS

Full-time

Our client, a leading supplier within the food industry based in Naas, Co.Kildare, is currently seeking a reliable and motivated Warehouse Administrator / Forklift Driver<strong> </strong&... Show more

Medicaid/Medicare Billing Specialist

Hudson Regional HospitalClifton, NJ, US

30+ days ago

Job type

Full-time

Job description

Position Summary

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO’s.

Job Duties

Monitor the progress of insurance claims from submission to payment.
Identify and resolve claim denials, rejections, and delays.
Follow up with insurance carriers to expedite claim payments.
Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors.
Make necessary corrections in the billing system to ensure accurate claims.
Process Medicare RTP claims and denial reports on a daily basis.
Ensure timely and accurate submission of Medicare credit balance quarterly reports.
Research outstanding accounts and take appropriate action to secure prompt payment.
Analyze system-generated reports to identify accounts requiring research.
Document all resolution activities in the appropriate system and log.
Alert supervisors or managers of non-payment trends.
Research partial payments to determine if the appropriate contractual allowance was calculated.
Initiate corrective action for miscalculated allowances, including collaboration with clinical departments.
Document results and alert supervisors or managers of trends.
Complete productivity reports and submit to supervisors within the established timeframe.
Support the department's customer service and performance improvement goals.
Collaborate with other staff to enhance patient care and service.
Maintain strict confidentiality of patient information.
Performs all other duties as assigned.

Qualifications and Skills

Excellent customer service skills and problem solving skills.
Strong analytical and organizational skills.
Ability to interact with varying cultures and a diverse population.
Proficient in billing systems and software.

Education, Experience and Certification/Licensure Requirements

H.S. Graduate
1-3 years’ experience in hospital or healthcare billing
Working knowledge of Medicare, Medicaid and HMO billing regulations.