- CornerStone Staffing (Fort Worth, TX)
- …minded candidates with medical provider experience! We are seeking tenacious candidates with healthcare and outbound call center experience to work for an excellent ... Healthcare company in Fort Worth! JOB ID - 144713 Job Title: Medical Claims Analyst Pay: $18/hr Location: Fort Worth, TX (76102) - WILL BE FULLY ON SITE Hours:… more
- Option Care Health (Phoenix, OR)
- …are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. ... on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or… more
- Blanchard Valley Health System (Findlay, OH)
- …support the Legal, Risk Management, and Corporate Compliance Department. The Risk Manager is responsible for planning and directing the Risk Management program from ... (FMEA) etc.) Duty 4: Designs, implements, and maintains programs to reduce claims and incidents, and associated liability. Duty 5: Offers risk educational… more
- Accounting Now (Pinellas Park, FL)
- …for ensuring accurate billing, timely submission of electronic and/or paper claims , monitoring claim status, researching rejections and denials, documenting related ... all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide. Primary Responsibilities:Responsible for charge and payment… more
- Option Care Health (Dublin, OH)
- …financial assistance program).Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where ... missing).Assist Patient Registration Supervisor and Manager with special assignments as needed. Supervisory ResponsibilitiesDoes this position have supervisory… more
- Globe Life Inc. (Broadview Heights, OH)
- …(PF&A) will, at the direction of the Product Forms & Filings Process Manager , be responsible for configuration of the Family Heritage operating system (SOAR). This ... the review of the Product Forms & Filings Process Manager of new and revised policies, riders, application forms,...system to issue policies and through benefit files, pay claims . The PF&A will help maintain accurate records of… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Maintains awareness of potentially compensable events and refers to the Patient Safety Manager and the NGHS claims staff in a timely manner.Conducts ... Assistant, LPN, or other similar clinical licensure or Certified Professional In Healthcare Risk Management (CPHRM), Certified Professional in Healthcare Quality… more
- CornerStone Staffing (Fort Worth, TX)
- CornerStone Staffing has partnered with a MAJOR HEALTHCARE NETWORK in Fort Worth and is currently recruiting for the following position: Job Title: Patient Account ... billing operations meet compliance with State and federal guidelines for accurate claims processing. This position processes electronic and paper claims for… more
- Cambia Health Solutions, Inc (Vancouver, WA)
- …disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a ... resource to internal and external customers.Collaborates with other departments to resolve claims , quality of care, member or provider issues. Identifies problems or… more
- Cambia Health Solutions, Inc (Portland, OR)
- …you would provide clinical care management to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. You would oversees ... resource to internal and external customers.Collaborates with other departments to resolve claims , quality of care, member or provider issues. Identifies problems or… more
- Universal Health Services (King Of Prussia, PA)
- …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 . Essential Job Duties: + Maintain a rolling diary… 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
- Trinity Health (Livonia, MI)
- …facilitations, mediation, and trial. Provides status reports for open and closed claims to facility Risk Manager , facility administrators, committees and others ... Liability (HPL), General Liability (GL) and Employment Practices Liability (EPL) claims and litigation, and co-manages uninsured litigation across the system.… 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 (Renton, WA)
- …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
- Elevance Health (Woburn, MA)
- …check, or ask you for payment as part of consideration for employment. **State of NH, Claims Manager ** + Job Family: IFT > IT Bus Systems Solutions Planning + ... NH, MANCHESTER + MA, WOBURN **Description** **State of NH, Claims Manager ** **Location** : Manchester, NH; Woburn,...Skills, Capabilities, and Experiences:** + 3+ years' experience leading claims teams in a large healthcare payor… more
- Zelis (Atlanta, GA)
- …from providers, clients and internal teams Preferred Qualifications + 7+ years of healthcare claims related experience + People leadership experience with the ... Position Overview The Claims Settlement Manager is responsible for...interpersonal skills #LI-RZ1 As a leading payments company in healthcare , we guide, price, explain, and pay for care… more
- Conduent (Olympia, WA)
- …operations leadership + Account Management experience (3+ yrs) + Contract Management + Healthcare Claims processing exp (REQ'D) + Have experience organizing and ... is noticed and valued every day. **Job Description:** **Senior Manager , Rx Claims Service Delivery-Olympia, WA** **Are you comfortable in a high-volume… more
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