- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare , you come first. HCA Healthcare has ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...'s Risk & Insurance department reporting directly to the Manager /Director of Property Claims . You will support… more
- HCA Healthcare (Denver, CO)
- …integrity. We care like family! Jump-start your career as a Medical Insurance Claims Representative today with HCA Healthcare . **_*This position is Full-time ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...location._** Come join our team as a Medical Insurance Claims Representative. We care for our community! Just last… more
- Universal Health Services (Dallas, TX)
- …Summary: The Corporate Insurance team at UHS is looking for motivated Senior Program Manager - Claims to join our innovative team and contribute to the ... Join a dynamic organization driven by our passion for healthcare . UHS is seeking talented individuals who are eager...maintaining of a rolling diary of claims . This position will be located in Dallas, TX.… more
- Robert Half Finance & Accounting (San Antonio, TX)
- …growing company in the heart of the San Antonio market seeking to hire an experienced Claims Manager . With over 20 years of experience in the healthcare ... managerial experience, and a comprehensive understanding of Medicare guidelines and healthcare claims regulations. This role requires excellent leadership… more
- Atlantic Health System (Morristown, NJ)
- Job Summary and Essential Function Claims Manager is responsible for the successful management of executive and employment liability claims / litigation ... matters for the System. This includes claims involving Atlantic Health System medical centers, subsidiaries, affiliates,...NJ + Goryeb Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Data Operations Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Manager of Claims Data Operations leads and...Required: At least 6-8 years of experience working with healthcare data. Minimum of 3-5 years of supervisory/management experience… more
- Maxim Healthcare Services (Columbia, MD)
- The Workers' Compensation (WC) Claims Examiner II understands and participates in every aspect of the WC claim process. Working in a team approach, the WC Examiner ... action, and determine the appropriate settlement value. The WC Claims Examiner II also works with the In-take Coordinators,...the In-take Coordinators, the broker of record, the WC Manager and fellow Maxim co-workers at every level of… more
- Sharp HealthCare (San Diego, CA)
- …business practices. **What You Will Do** Minimal data entry from non-scanned claims into GE according to established procedures. **Required Qualifications** + 1 Year ... previous claims experience in an HMO or indemnity insurance setting...Special ProjectsPerform special projects as assigned by the Team Leader/ Manager . **Knowledge, Skills, and Abilities** + Strong organizational skills… more
- Providence (NM)
- …retain the best people, we must empower them._** **Providence is calling a Senior Claims Insurance Manager - Medical Professional Liability Claims Handler ... liability insurance policy coverage letters + STARS / Riskonnect or similar claims management software experience + Certified Professional Healthcare Risk… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible for development and… more
- Centene Corporation (Jefferson City, MO)
- …workplace flexibility. **Position Purpose:** Manage the prospective review of high risk claims to ensure payment integrity and provide immediate feedback on findings ... including high dollar claims , coaching for quality review claims and internal audits. Create ODS reports of known manual processing issues to increase quality… more
- GuideOne Insurance (West Des Moines, IA)
- As a Casualty Claims Manager , you will be responsible for independently analyzing and comparing data to formulate goals and reports. You will be required to have ... 3 or more years of Commercial Claims leadership experience. In addition, this is a work...Medical, dental and vision plans to meet your unique healthcare needs + Wellness incentives + Generous time off… more
- Conduent (Olympia, WA)
- …operations leadership + Account Management experience (3+ yrs) + Contract Management + Healthcare Claims processing exp (REQ'D) + Have experience organizing and ... culture where individuality is noticed and valued every day. **Senior Manager , Rx Claims Service Delivery-Olympia, WA** **Are you comfortable in a high-volume… more
- Conduent (Olympia, WA)
- …5-10 years general operations leadership + Account Management experience (3+ yrs) + Healthcare Claims processing exp (REQ'D) + Have experience organizing and ... where individuality is noticed and valued every day. **Job Description:** **Senior Manager , Rx Claims Delivery** **$ign-On Bonus available** **About the Role**… more
- Universal Health Services (Riverside, CA)
- …errors in the auditor Access database program, and report all findings to the Manager . 3. Assist the Claims Examiners and other personnel with claims ... you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward....and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims … more
- Humana (Indianapolis, IN)
- …(PH), and Behavioral Health (BH) providers. + Advanced proficiency working with healthcare data, specifically medical claims . + Advanced proficiency with Excel ... Humana Healthy Horizons in Indiana is seeking a Senior Claims Research & Resolution Professional who is dedicated to...submissions. + Works with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues… more
- United Site Services (Sacramento, CA)
- …Manager , and ADJ + Communicate any significant changes, problems, or concerns to Claims Manager + Request and monitor settlement requests - provide claim ... in 27 states - and growing! **Primary Purpose** The Claims Administrator, Risk Management position maintains all auto/general liability/...summaries to Risk Manager /Sr. Corporate Counsel + Work closely with TPA adjusters… more
- Trinity Health (Livonia, MI)
- …Reviews. Contacts defense counsel as directed by ACM or Workers' Compensation Claims Manager ; composes correspondence/mail and form letters as directed; ... claims support functions as assigned by Area Claims Manager such as scheduling, calendar management,...Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation… more
- EssilorLuxottica (Mason, OH)
- …as the point of contact for the practice regarding all vision and medical claims . + Support the corporate manager in maximizing claim collection rate. **BASIC ... Claims Coordinator (TeamVision) Date: Apr 25, 2024 Brand:...in the US receive preference in accordance with Tribal Law. **Nearest Major Market:** Cincinnati **Job Segment:** EMR, Healthcare… more
- Guidehouse (Lewisville, TX)
- …from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Account Review ... + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for working on 40-70 Accounts Per Day… more