- CHRISTUS Health (Tyler, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data , organizing disease ... with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted… more
- UnisLink (Phoenix, AZ)
- …to be part of a growing team with long-term career potential? UnisLink is hiring a Medical Claims Clerk to support our billing and operations teams. No prior ... you have any of the following: Proven experience in claims printing within a healthcare or medical ...highly skilled team of professionals in the areas of medical billing/RCM, data analytics, product development, account… more
- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …claims subject matter expert (SME) and handles incoming inquiries regarding Payment Integrity projects related to claims issues, policies and CES edits. ... Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity … more
- PharmaCord (Jeffersonville, IN)
- …internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth ... work environment. We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team members who love… more
- NorthMark Strategies (New York, NY)
- …leveraging technology, and fostering differentiated business strategies. Our values are Integrity , Ability, and Energy, and the company aims to hire individuals ... third-party administrators to ensure effective program management. Assist with claims management, loss control initiatives, and incident reporting, supporting… more
- PharmaCord (Jeffersonville, IN)
- …in scope of service and/or efficiency in the delivery of service Evaluates data and providing actionable insights that drive the Program forward consistent with ... the preparation of client business review meetings with operational metrics and data insights Point of contact for program/operational queries and issue resolution… more
- Premier Auto Credit (Glendale, CA)
- …of potential losses by identifying opportunities to open and resolve insurance claims on insured vehicles that are damaged. Ensure that all insurance verification ... and executing outbound calls. Assess customer information and ensure accuracy, collect data and enter accurately into the CRM system. Resolve any discrepancies on… more
- PharmaCord (Jeffersonville, IN)
- …internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth ... We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team...focusing on the accuracy of the details of their medical records and your mastery of the program requirements,… more
- PharmaCord (Jeffersonville, IN)
- …in scope of service and/or efficiency in the delivery of service Evaluates data and providing actionable insights that drive the Program forward consistent with ... the preparation of client business review meetings with operational metrics and data insights Point of contact for program/operational queries and issue resolution… more
- PharmaCord (Jeffersonville, IN)
- …internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth ... We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team...focusing on the accuracy of the details of their medical records and your mastery of the program requirements,… more
- ICEYE (Los Angeles, CA)
- …capabilities. Information derived from our SAR images helps customers make data -driven decisions to address time-critical challenges in various sectors, such as ... remotely in a home office Positive, energetic, open and honest with a high degree of integrity and ethics In addition to the above, it would be beneficial if you had… more
- Elevance Health (Louisville, KY)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- NTT DATA North America (Ontario, CA)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our team remotely for a 3 month contract ... At NTT DATA , we know that with the right people... examiners, ensuring the accurate and timely processing of medical claims using the Xcelys system. The… more
- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking **Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. **Must ... To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide...manage high-volume workload and meet performance metrics About NTT DATA : At NTT DATA , we know that… more
- NTT DATA North America (Plano, TX)
- …maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Medical Claims Processor** to join our ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees have been key factors in… more
- NTT DATA North America (Plano, TX)
- …maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees have been key factors in… more
- NTT DATA North America (Ontario, CA)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a 3 month contract ... At NTT DATA , we know that with the right people...role. **MUST HAVE XCELYS EXPERIENCE** To serve as a Medical Claims Processor within the Xcelys environment.… more
- NTT DATA North America (Plano, TX)
- …a bright future for NTT DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees are key factors in our… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... and report outcome results on edits implemented. + Utilize data to examine large claims data...care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I ... is responsible for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review … more
