- 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 ... an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team...Processing Associate** to join our team for a remote position. **Role Responsibilities** - Processing of Professional… more
- NTT DATA North America (St. Louis, MO)
- …NTT 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. ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+...be able to work 7am - 4 pm CST online/ remote (training is required on-camera). **Preferred Skills & Experiences:**… 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 ... who work here. NTT DATA is seeking to hire a ** Remote Claims Processor** to work ** remote (MO).** **Role Responsibilities:** * Processing of Professional… more
- CenterWell (Jefferson City, MO)
- …or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and microcomputer ... and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** ,...agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms files by...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- Prime Therapeutics (Jefferson City, MO)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare , and/or related field + Previous experience ... every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves as a trusted partner… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …our platform, connecting people and partners and strengthening our collective impact on total healthcare . Guided by our mission, we think big and dare to do things ... differently to build the future of healthcare we want to experience in our own lives....mental health **Must live in IA, MO, KS, NE** **\#LI- Remote ** **Competencies** **Accountability for Results -** Stay focused on… more
- Canon USA & Affiliates (Jefferson City, MO)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …engagement strategies are optimized, personalized, and aligned with the needs of healthcare professionals (HCPs) and other stakeholders. The ideal candidate is a ... or not clearly defined. + **Travel & Collaboration:** + Although this is a remote role, 30% travel for in-person meetings will be essential, including travelling to… more
- Humana (Jefferson City, MO)
- …to make an impact** **Required Qualifications** **5 years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Humana (Jefferson City, MO)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …connecting people and partners and strengthening our collective impact on total healthcare . **About This Team** The Data & Technology Delivery Team serves as ... an active role in professional development as a business imperative. **\#LI- Remote ** **Competencies** **Accountability for Results -** Stay focused on key strategic… more
- Humana (Jefferson City, MO)
- …make an impact** **Required Qualifications** + Over 2 years of experience in healthcare claims processing , including encounter data submissions and related ... The Encounter Data Management Professional ensures data integrity for claims vs outbound encounters. The Encounter Data Management Professional work… more
- CenterWell (Jefferson City, MO)
- …of experience with pharmacy and/or medical FWA investigations + In-depth knowledge of healthcare industry, claims processing , and payment methodologies + ... 2 works collaboratively with multiple departments to identify trends and analyze claims for potential fraud, waste, and abuse (FWA), ensuring accuracy, appropriate… more
- Humana (Jefferson City, MO)
- …of operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, ... organization focused on continuously improving consumer experiences While this is a remote opportunity,** **it will require the willingness to travel to the market… more
- Banner Health (MO)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... support throughout your career here! This is a fully remote position and available if you live in the...unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in… more
- Humana (Jefferson City, MO)
- …the point of sale to members loaded in system, ID cards issued, claims opened for processing and certifications issued. The Senior Installation Administration ... **Required Qualifications** . Bachelor's degree or 3 years equivalent healthcare experience . Previous relationship management experience . Experience implementing,… more
- Centene Corporation (Jefferson City, MO)
- …work and managing performance preferred. + Knowledge of Microsoft Excel, medical coding, claims processing , and data mining preferred. Pay Range: $86,000.00 - ... workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. **Position Purpose:** Manage… more
- Humana (Jefferson City, MO)
- …industries + Strong communication skills + Experience with pharmacy operations and/or claims processing in a pharmacy setting + Intermediate Microsoft Excel, ... best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Centene Corporation (Jefferson City, MO)
- …of medical claim or fraud investigation experience. Knowledge of Excel, medical coding, claims processing , and data mining preferred. Previous experience as a ... unit investigators and analysts **Experience/Experience:** Bachelor's degree in Business, Healthcare , Criminal Justice, related field, or equivalent experience. 3+… more