- Providence (WA)
- …effective communication within the claims team, including other Claims Managers, Claims Technicians and Claims Specialists . The Claims Manager ... health care or general risk management, and insurance claims handling. **Preferred Qualifications:** + Upon hire: Certified Professional Healthcare Risk… more
- Providence (CA)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not… more
- Alight (TX)
- …with the Quality team to close gaps. Serve as an escalation point for the Claims Specialists , and adjust workloads as needed. + Creating and manage short-term ... financially secure workforce by unifying the benefits ecosystem across health , wealth, wellbeing, absence management and navigation. With a...and long-term career goals for Claims Specialists . + Using subject matter expertise… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a...a team of 4 -5 Major Case Unit Claim Specialists as well as a Home Office Consultant. Timely ... will manage the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures, and… more
- TEKsystems (Deerfield Beach, FL)
- …office environment-without the physical demands of hands-on repair work. We're hiring Mechanical Claims Specialists to join a growing team that helps customers ... Shift Gears in Your Career - Become a Mechanical Claims Specialist Are you a seasoned automotive technician ready to trade the shop floor for a more comfortable,… more
- Atrius Health (Chelmsford, MA)
- *Explore opportunities at Atrius Health *, part of the Optum family of businesses. We're an innovative healthcare leader, delivering an effective system of connected ... primary care providers and clinicians work with hospitals, community specialists and nursing facilities. Be part of our vision...together.* *SUMMARY* *This position is looking for a Medical Claims Representative to join the Self Pay team at… more
- TEKsystems (Deerfield Beach, FL)
- …from the shop floor to a more comfortable, office-based role? We're seeking Mechanical Claims Specialists to join a growing customer contact team at a ... Job Title: Mechanical Claims Specialist Location: Remote (with initial...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Sedgwick (Harrisburg, PA)
- …Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim ... caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor… more
- RWJBarnabas Health (Oceanport, NJ)
- …- (Medicare) RemoteReq #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding Quality Pay ... Job Title: Inpatient Coding Quality Officer III - (Medicare) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000183242 Status: Full-Time… more
- Trinity Health (Livonia, MI)
- …If applicable, telecommuting (working remotely), must be able to comply with Trinity Health 's and the Region/HM Working Remote Policy. **Hourly Pay Range:** ... analyzing physician/provider documentation contained in Complex Outpatient (CO)/Ambulatory Surgery health records to determine the principal diagnosis, secondary diagnoses,… more
- Trinity Health (Livonia, MI)
- …If applicable, telecommuting (working remotely), must be able to comply with Trinity Health 's and the Region/HM Working Remote Policy. **Hourly Pay Range:** ... documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal… more
- RWJBarnabas Health (Oceanport, NJ)
- …Other Payer) RemoteReq #:0000138249 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding South Pay ... Inpatient Coding Quality Officer I - (All Other Payer) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000138249 Status: Full-Time Shift:… more
- Trinity Health (Livonia, MI)
- …and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, ... ESSENTIAL FUNCTIONS: 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2.… more
- Centene Corporation (Sacramento, CA)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Intertek (Grand Rapids, MI)
- Label Reviewer - Remote Intertek, helping companies around the world develop products to be used safely by millions of people every day, is searching for reliable ... sustainability. Our global network of scientists, engineers, and regulatory specialists provides support to navigate complex scientific, regulatory, environmental, … more
- AdventHealth (Altamonte Springs, FL)
- …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts… more
- Molina Healthcare (Bellevue, WA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Parsons Corporation (Centreville, VA)
- …leads full-time, part-time, and collateral duty project and program SH&E specialists in implementing work plans and the company's risk management practices. ... other project and program personnel in conforming with Parsons' Environmental, Safety, Health , and Risk Program (ESHARP) management system and Parsons' policies and… more
- System One (Washington, DC)
- …user guides, training materials, and reference manuals. + Collaborate with business analysts, claims specialists , IT teams, and subject matter experts to gather ... seeking an experienced Part-time Healthcare Technical Writer with a strong background in health insurance and claims documentation. This role will be responsible… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more