- AAOS (Rosemont, IL)
- …on compliance with HIPAA/HITECH/CARES Act. Assists Compliance Specialist with processing trademark, copyright, and permissions requests. Prepares and reviews health ... orientations and trainings. Coordinating with outside counsel regarding legal claims against AAOS resulting from Professional Compliance Program sanctions, including… more
- Providence (Mission Hills, CA)
- … Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non-contracted providers. Providence ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- ** Claims Processing Specialist** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J0524-1401 **Employment Type:** ... to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY. This is an opportunity to join an energetic… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** CLAIMS PROCESSING TECH II - Eddy Home Care - FT Days The Eddy Senior Living division is ... looking for a motivated individual to join our billing team. We have 12 sites with over 800 residents that we generate private pay bills for and process payments via credit, debit, and check. This position will work closely with our other biller to meet the… more
- Providence (Anaheim, CA)
- …Schedule:** Full time **Job Shift:** **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W ... Center St Promenade **Work Location:** St Joseph Home Health-Anaheim **Pay Range:** $19.03 - $29.08 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime,… more
- CVS Health (Scottsdale, AZ)
- …Working within turnaround times to meet client performance guarantees for claims processing .- Meeting productivity and accuracy standards. Required ... Scottsdale, AZ location. CVS Health is looking for experienced Claims Intake Processors to join our fast-paced Claims... Claims Intake Processors to join our fast-paced Claims Department. As a Claims Intake Processor,… more
- BrightSpring Health Services (Taunton, MA)
- …apply today! Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance ... staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance.* Handles escalated calls… more
- CVS Health (Phoenix, AZ)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling… more
- LA Care Health Plan (Los Angeles, CA)
- …contract and delegated claims per regulatory and contractual guidelines, which includes: Processing claims for all lines of business. Processing all ... providers. (5%) Work with internal departments to resolve issues preventing claims processing or enhancing processing capabilities. May assist in testing,… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Philadelphia, PA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- LA Care Health Plan (Los Angeles, CA)
- …in-depth understanding of the application of Division of Financial Responsibility (DOFR) to claims processing . Extensive experience working with COB and TPL ... and related contractual scenarios. Skills Required: Solid understanding of standard claims processing systems and claims data analysis. Extensive experience… more
- Universal Health Services (Riverside, CA)
- …or general education degree (GED); or Four (4) or more years with claims processing experience and/or training; or equivalent combination of education and ... and requirements. 2. Daily track and report both financial and clerical claims processing errors in the auditor Access database program, and report all findings… more
- NJM Insurance (Trenton, NJ)
- …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years' experience as a Workers' Comp… more
- Community Clinic Inc. (Silver Spring, MD)
- …coordination with health center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing and account ... and apply knowledge of Commercial Indemnity guidelines in the processing , adjudication, and payment of claims . +...in the processing , adjudication, and payment of claims . + Maintain current understanding and application of all… more
- Kelly Services (Mason, OH)
- …fit if you:** + High school diploma/GED preferred. + 1 year of claims processing /data entry experience. Knowledge of PCs and spreadsheet applications + ... Data entry and claims processing knowledge + Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm, Exclaim and… more
- TEKsystems (Cedar Rapids, IA)
- …language to analyze claim edits * Point of contact for clients and members Skills: claims , customer service, claims processing , claims adjusting, medical ... terminology, icd9, icd-10, medical claims processing , Education/Qualifications: * Familiarity with ICD-10 and CPT coding...with ICD-10 and CPT coding * Understanding of medical claims processing guidelines * Proficient PC skills… more
- Kelly Services (Columbia, SC)
- …- Opportunity to contribute to the healthcare industry by ensuring accurate claims processing and customer satisfaction - Potential for career growth ... verifying correct coding of procedures and diagnosis codes - Ensure claims are processing according to established quality and production standards - Identify… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... onsite in Livonia, Michigan - Monday through Friday - Day Shift** **Experience processing hospital (UB04) medical claims needed working with all payors**… more
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