- NTT DATA North America (St. Louis, MO)
- …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... 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 Role the… more
- NTT DATA North America (MO)
- …applicable methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a ... part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role… more
- NTT DATA North America (St. Louis, MO)
- …methodology/ fee schedule **Required Skills/Experience** * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years using a ... here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** *... Processor** to work **remote (MO).** **Role Responsibilities:** * Processing of Professional claim forms files by provider *… more
- TEKsystems (Bakersfield, CA)
- … examiners. Additional Skills & Qualifications -Minimum of 2-4 years of experience in healthcare claims processing or a related field. -Experience with ... care organizations (MCOs) or MSOs is highly desirable. -4-5 years experience in healthcare claims processing or related field -Proficiency in claims … more
- VNS Health (Manhattan, NY)
- …or related field required Work Experience: + Minimum of 5 years of experience in healthcare claims processing , payment integrity, or related field required + ... errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established procedures and timelines.… more
- ManpowerGroup (Linthicum Heights, MD)
- …to work in a dynamic and supportive environment. + Gain valuable experience in the healthcare claims processing field. + Collaborate with a team of dedicated ... will be part of the medical claims processing department supporting the efficient management of healthcare claims . The ideal candidate will have strong… more
- NTT DATA North America (Dallas, TX)
- …applicable methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
- System One (Newtown Square, PA)
- …experience in high-volume claims environments. + Extensive knowledge of healthcare claims processing , adjudication, and compliance. + Demonstrated ... Apply today for immediate consideration! Responsibilities + Deep understanding of healthcare regulations, claims adjudication, and compliance (HIPAA, PHI, etc.).… more
- Kelly Services (Houston, TX)
- …with providers, payers, and internal stakeholders. - Technical Proficiency: - Familiarity with healthcare claims processing systems and data analysis tools. ... **Job description :** - Claim Review and Analysis: - Scrutinizing submitted healthcare claims for potential overpayments by comparing billing codes, medical… more
- Cognizant (Oklahoma City, OK)
- …35 WPM + 10-key + Proficient in Microsoft Office - Excel, Word, and Outlook + Healthcare claims payer processing experience (required) + Ability to work at a ... ensuring all mandated government and state regulations are consistently met + Processing claims for multiple plans with automated and manual differences… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …process improvements for Core back-Office systems including but not limited to: Core Healthcare Claims Processing Platform including Eligibility & Enrollment ... growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be… more
- TEKsystems (Honolulu, HI)
- …skills. + Ability to work collaboratively with cross-functional teams. + Knowledge of healthcare claims processing or related tools. + Familiarity with ... company. The ideal candidate will be responsible for understanding and optimizing the claims processing workflow, utilizing new tools to track, process, and… more
- State of Massachusetts (Quincy, MA)
- …of experience in an IT Business/Systems Analyst role, preferably with a focus on Pharmacy/ Healthcare claims processing , is required. Five (5) plus years of ... Systems Analyst*responsible for supporting the pharmacy system, MassRx. MassRx is a claims processing and rebate system, which processes around 26 million… more
- Conduent (Florham Park, NJ)
- …success. + Provide insights on Conduent's full suite of BPO services in the healthcare sector, including: + Claims processing + Revenue cycle management ... noticed and valued every day. **Senior Director, Client Partner Executive - Healthcare ** **Are you an accomplished Client Partner with expertise in BPO… more
- Molina Healthcare (IA)
- …solutions + Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter ... including accurate and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure… more
- CVS Health (Plymouth, MN)
- …by the stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with ... This challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …and detail-oriented Revenue Cycle Billing Manager to oversee and manage our healthcare organization's billing and claims processing operations. This ... field (preferred). + 5+ years of experience in revenue cycle management, billing, and claims processing in a healthcare setting, with at least 3 years in… more
- Cognizant (Augusta, ME)
- …to understand and use Optum PPS configuration. + Demonstrate strong understanding of healthcare claims processing , provider contracts, fee schedules, and ... ** Healthcare Product Consulting - NetworX Consultant (Remote)** **Job...knowledge of NetworX data structures. + 10 years of healthcare experience, with 5 years of recent and relevant… more
- Robert Half Accountemps (Allentown, PA)
- …billing, ideally in an NHS or similar healthcare setting * Proficient in claims processing , with a strong ability to handle and resolve claim discrepancies ... claims billing software * Verify insurance benefits as they relate to claims processing * Respond promptly to regulatory requests, ensuring compliance with… more
- CVS Health (Annapolis, MD)
- … healthcare fraud detection, investigation, or auditing In-depth knowledge of healthcare systems, claims processing , and regulatory requirements related ... investigation, and prevention efforts to safeguard the organization's resources and reduce healthcare costs. This role involves leading a team of CPC's, working… more