- UnisLink (Phoenix, AZ)
- …records (EHR) and claims processing software. Familiarity with different types of healthcare claims , including CMS-1500 and UB-04 Why UnisLink? We offer a ... processing incoming and outgoing mail for a variety of healthcare clients. Reviewing printed claims to confirm...a variety of healthcare clients. Reviewing printed claims to confirm accuracy and completeness. Documenting and tracking… more
- Unknown (San Antonio, TX)
- …5 years in a senior leadership position. A strong background in healthcare operations, particularly in claims processing, reimbursement methodologies, and payer ... Senior Vice President of Eligibility, Claims & Revenue Management About the Company Top...2008 Employees 501-1000 Categories Fertility Health Care Medical Specialties healthcare medical mhealth financing fertility fertility benefits egg freezing… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …part of a team with minimal direct supervision **Qualifications** + 1+ years of healthcare , claims , or medical administrative work experience + 2+ years of ... statuses of the request + Reviewing medication inquiries and contacting healthcare providers for follow-up information + Reviewing provider documentation and… more
- Unknown (Washington, DC)
- …predictions nlp data to cash payment integrity subrogation data mining cost containment healthcare admin healthcare claims ai coordination of benefits ... healthcare it and healthcare payment process About the Role The Company is...a strong background in payment integrity, reimbursement operations, and claims auditing, with expertise across various claim types and… more
- Unknown (Atlanta, GA)
- …ai rpa robotic process automation hospitals and health systems physician groups healthcare claims management rcm healthit fintech and software About the ... Innovation Management Information Technology & Services Specialties revenue cycle management healthcare information technology and claims management claims … more
- Formation Bio (New York, NY)
- …data pillars interoperable, consistent, and actionable. You'll work across healthcare (EHR, claims , real-world data), commercial/pharma (pricing, formulary, ... industries. Deep expertise in at least one data domain (eg, healthcare /EHR/ claims , commercial/pharma, biomedical/scientific, or finance), with a track record… more
- Stanford Health Care (Palo Alto, CA)
- …assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, ... interpret, and evaluate claims data to identify trends, discrepancies, and opportunities for...completion. + Regulatory Compliance Stay updated on changes in healthcare regulations, payor policies, and industry best practices related… more
- Lyra Health Inc (Bakersfield, CA)
- …recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care ... an employee's total compensation package, which may additionally include comprehensive healthcare coverage, retirement benefits, and time off with pay. *Please note… more
- Quad (Sussex, WI)
- …Workbench, Slicer Dicer, Radar, Record Viewer, and Dashboard. + Applies comprehensive healthcare claims knowledge, ensuring data integrity when importing medical ... and prescription claims data, including... data, including mapping, scrubbing, and verification. + Leverages healthcare expertise in ambulatory settings, providing accurate patient care… more
- Somatus (Mclean, VA)
- …Analytics to create impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data. This position will work ... grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + 401(k)… more
- COOLSOFT (Columbia, SC)
- …with competing, diverse interests to work together - Experience in Medicaid or other healthcare claims system(s) IT projects preferred, but not mandatory - Must ... Manager Job location in Columbia, SC Skills required Project Management Skills, Healthcare Insurance, Project Planning, Technical Tasks Written And Verbal Commu Open… more
- Allstate (Schenectady, NY)
- …Management Adjusting Team Lead I is responsible for providing our Agents exceptional claims and inquiry service through chat while managing and motivating ten to ... of operational initiatives that enable the achievement of Claim, Discipline, Claims Service Area (CSA) and Company business objectives. This individual develops… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking an **Electronic Claims Analyst** to join our dynamic, fully remote team! In this role, you will play a key part in processing ... electronic claims , researching and resolving claims -related issues, and supporting other departments with electronic claims processes. You will also… more
- Staffing Solutions Organization (Albany, NY)
- …+ 8 years of professional experience required + Experience working with healthcare data, particularly claims , member, and provider domains required + ... Management. The individual will be responsible for the research and understanding of healthcare data and business context of various elements related to Medicaid … more
- Carrot (Des Moines, IA)
- …Carrot is the leading global fertility, family-building, and lifelong hormonal healthcare platform providing care for everyone, everywhere. Trusted by more than ... Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and… more
- Unknown (Mclean, VA)
- …various payor-product partners and geographies. Key responsibilities include analyzing healthcare payor claims data, leading quality improvement initiatives, ... and engaging with physician leaders to operationalize collaboration opportunities for shared patient populations. Candidates for the VP of Clinical Performance position at the company should have a proven track record in driving process, quality, and cost… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …years of experience in healthcare , including familiarity with hospital systems, healthcare data sets ( claims , EHR, clinical data, structured and unstructured ... Analyst III demonstrates an extremely advanced understanding of the healthcare domain, project management, technical data manipulation and analytic development,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …experience in healthcare , including familiarity with hospital systems, diverse healthcare data sets ( claims , EHR, clinical data, structured and unstructured ... Science Analyst II exhibits a strong and advanced understanding of the healthcare domain, along with expertise in technical data manipulation and analytical… more
- Mom's Meals (Ankeny, IA)
- …years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims , patient registration, and/or ... Bachelor's degree in healthcare administration, medical administrative assistance, or healthcare finance + Previous experience with electronic claims , such… more
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