- NTT DATA North America (St. Louis, MO)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with Windows applications using… more
- NTT DATA North America (MO)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a computer with Windows applications… more
- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Henry Ford Health System (Detroit, MI)
- …in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. . ... Reviews claims for accuracy, including proper diagnosis and procedure codes. . Reviews claim rejections and communicates with payers to resolve billing issues. .… more
- Ascension Health (Jacksonville, FL)
- …party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review ... claims for accuracy, including proper diagnosis and procedure codes. + Review claim rejections and communicates with payers to resolve billing issues. + Prepare and… more
- Molina Healthcare (Columbus, OH)
- …claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual ... standard principles and applicable state specific policies and regulations to identify claims processing errors + Applies claims processing and technical… more
- VNS Health (Manhattan, NY)
- …errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established procedures and timelines. ... + Monitors claims processing metrics and identifies opportunities for process improvement. + Ensures compliance with regulatory requirements related to claims… more
- Martin's Point Health Care (Portland, ME)
- … claims payment accuracy. Job Description Key Outcomes: + Drives quality, timely claims processing to allow the health plan to achieve regulatory compliance, ... operational readiness for system fixes, configuration, and project rollouts impacting claims processing + Ensures operational readiness, testing, training,… more
- Guardian Life (Bethlehem, PA)
- … Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims management platform and ... role will offer a depth and breadth of knowledge of claims processing systems including integration points, data and reporting, and configuration management.… more
- CenterLight Health System (NY)
- …+ Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Attend Joint Operating ... + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software. + Effective oral, written, and… more
- TEKsystems (Bakersfield, CA)
- QNXT claims processing is a MUST. Familiarity with Medi-Cal and Medicare lines of business, preferably in an IPA or MSO. Description 1.1 Review and process ... process improvement. 1.17 Contribute to the development and updating of claims processing procedures and guidelines. 1.18 Assist in training and mentoring junior… more
- State of Minnesota (St. Paul, MN)
- …will be considered for this position.** One (1) year* of experience processing claims and/or appeals. *Associate's degree in Business Administration, Public ... to quickly adapt to changes in policies, procedures, or legislation impacting claims processing . **Preferred Qualifications** + Knowledge of standard operating… more
- Subaru of America (Camden, NJ)
- … Helpline staff. Defines, reviews, and improves business processes related to the Claims Helpline and claims processing . Maintains responsibility for the ... through claims system and call system. Assists with calls and claims processing as needed during times of high volume or during unexpected staffing… more
- State of Colorado (Denver, CO)
- …procedures. This involves interpreting the law and applying it to the review process. Claims processing duties: + Reviews and analyzes claims submitted to ... of experience reviewing documentation for eligibility and providing customer service or processing claims for a business. Part-time experience will be pro-rated.… more
- NTT DATA North America (Decatur, IL)
- …and insured members. . Assist with audits for assigned group. . Assist with claims processing and over specific for new or backlogged groups. KNOWLEDGE, SKILLS ... ABILITY REQUIREMENTS: . High School Education required. . 3 Years of Claims Processing Experience . TPA Experience Preferred: Experience in the GBAS system… more
- TEKsystems (Surfside Beach, SC)
- …Verifies that claims have been keyed correctly. *15% Ensures that claims are processing according to established quality and production standards. Corrects ... processing errors by reprocessing, adjusting, and/or recouping claims . *15% Researches and resolves claims edits and deferrals. Performs research on claim… more
- Robert Half Accountemps (Indianapolis, IN)
- …mindset to adapt to changing work environments and schedules * Handle calculations related to claims processing and payout * Keep track and update the status of ... ability to analyze and interpret data to make informed decisions * Expertise in claims processing , with a focus on timely and efficient processing of … more
- ManpowerGroup (Linthicum Heights, MD)
- …As a Health Claims Coordinator, you will be part of the medical claims processing department supporting the efficient management of healthcare claims . ... **What's Needed?** + High School Diploma or Equivalent. + Minimum one year of Claims Processing experience. + Typing speed of 60 words per minute. + Knowledge of… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …work with a team that reviews claims and claims data from the MaineCare claims processing system and the accuracy of the work of the Claims Division ... oversight necessary to ensure accountability and efficient and effective administration. The Claims Adjustment Division oversees the re- processing of claims … more
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