• Healthcare Claims Senior…

    General Dynamics Information Technology (Raleigh, NC)
    …meet service agreements and consistently deliver high quality and timely service. HOW A SENIOR MANAGER HEALTHCARE CLAIMS WILL MAKE AN IMPACT + You will act ... Management,Training **Experience:** 5 + years of related experience **Job Description:** Healthcare Claims Sr Manager Drive better health outcomes for our… more
    General Dynamics Information Technology (07/01/25)
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  • RCM Healthcare Claims Denials…

    CenterWell (Shawnee, KS)
    …market or Kansas City, MO or Kansas City, KS markets.** As the **RCM Manager ** , you will: + Manage the collection and billing operations and develop ... Bachelor's Degree or the equivalent preferred + A minimum of five years healthcare related billing/collection experience preferred + At least three years in a… more
    CenterWell (07/10/25)
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  • Sr. Professional Liability Medical Claims

    Providence (TX)
    …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...**Preferred qualifications for this position include:** + Certified Professional Healthcare Risk Management (CPHRM) + 10+ years of medical… more
    Providence (07/10/25)
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  • Professional Lines Claims Manager

    NextEra Energy (North Palm Beach, FL)
    **Professional Lines Claims Manager ** **Date:** Jun 28, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy At PALMS Insurance, a ... team today. **Position Specific Description** The ideal candidate for the Professional Lines Claims Manager position will be able to handle and adjust program… more
    NextEra Energy (07/03/25)
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  • Healthcare Claims Denials Specialist

    CenterWell (Topeka, KS)
    …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the ... or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/09/25)
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  • EDI Claims Remittance and Enrollment…

    Beth Israel Lahey Health (Boston, MA)
    …and third-party vendors for EDI including analysis, design, mapping, testing, training. The Manager of EDI Claims , Remittance and Enrollment is responsible for ... responsible for planning, coordinating and managing HIPAA EDI activities including Claims , Remittance, as well as Provider Enrollment processing for Harvard Medical… more
    Beth Israel Lahey Health (06/06/25)
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  • PACE Health Plan Claims Compliance Analyst

    HCA Healthcare (Asheville, NC)
    **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...CarePartners PACE program + Works with Quality and Compliance Manager to coordinate quality oversight of vendors and contracted… more
    HCA Healthcare (06/25/25)
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  • Claims Manager

    Novant Health (Winston Salem, NC)
    Job Summary The Claims Manager is responsible for analyzing, negotiating and resolving claims , including professional and general liability, for all Novant ... team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants… more
    Novant Health (04/17/25)
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  • Medicare Exhaust Specialist ( healthcare

    Select Medical (Camp Hill, PA)
    …results-oriented? Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an exceptional ... Exhaust, specialist files Medicare part A and part B claims to Medicare. + Specialist determines if a secondary...and actions taken on individual accounts to Business Office Manager with the goal of making decisions on revenue.… more
    Select Medical (05/22/25)
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  • RCM Healthcare Claims Denials…

    CenterWell (Atlanta, GA)
    …market or Kansas City, MO or Kansas City, KS markets.** As the **RCM Healthcare Claims Denials (Accounts Receivable) Supervisor** , you will: + Supervise daily ... and initiate correspondence to insurance companies for reconsideration of claims . + Supervise accounts receivable management functions and maintain assigned… more
    CenterWell (06/27/25)
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  • Claims Operations, Senior Manager

    CVS Health (Tallahassee, FL)
    …and capabilities. **Required Qualifications** + Minimum 7 years work experience in claims operations + Healthcare industry experience, TPA experience in ... by developing and implementing service strategies, managing a team of Claims Operations resources, monitoring service quality and performance metrics, resolving… more
    CVS Health (07/03/25)
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  • Claims Audit Analyst

    WelbeHealth (Phoenix, AZ)
    claims + Must have experience working with CMS and Medicaid healthcare claims + Demonstrated skills within Microsoft Office Applications, including Excel ... the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population...corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement… more
    WelbeHealth (07/10/25)
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  • LTSS Claims Educator

    Elevance Health (Columbus, OH)
    …experience, which would provide an equivalent background. **Preferred Qualifications:** + Experience with Healthcare ( Claims ) is a must + Prior experience as an ... workplace. Alternate locations may be considered. **Position Overview:** LTSS Claims Educator facilitates the exchange of information between the grievances,… more
    Elevance Health (07/09/25)
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  • Transport Sales Manager

    UGI Corporation (Houston, TX)
    …Nearest Major Market:Houston Job Segment: Substance Abuse, Behavioral Health, Marketing Manager , Sales Management, Claims , Healthcare , Marketing, Sales, ... Transport Sales Manager Location: Houston, TX, US, 77079 Workplace Environment:...accounts receivables, customer concern and problem resolution, 3rd party claims procedures. * Build and maintain 3rd party customer… more
    UGI Corporation (07/09/25)
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  • Claims Analyst

    Panasonic North America (De Soto, KS)
    …functions of the Claims Coordinator and the strategic oversight of the Claims Manager . The Analyst supports complex claims analysis, documentation, ... world? Do you have a strong background as a Claims Analyst? Then we're looking for you! Check out...social, and environmental health: + Highly inclusive and class-leading healthcare options to include family planning, mental health, and… more
    Panasonic North America (07/10/25)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Charleston, WV)
    …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
    CommuniCare Health Services Corporate (06/29/25)
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  • Claims Examiner. Workers' Comp I

    Amergis (Columbia, MD)
    …+ Educates branch offices about all aspects of Workers' Compensation + Assists Claims Manager in achieving overall department goals + Performs other duties ... Salary: $25 / Hour Amergis, formerly known asMaxim Healthcare Staffing, has served our clients and communities...the TPA service agreement in consultation with the WC Manager + Escalates lost time and litigated claims more
    Amergis (06/12/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …related to claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements associated with billing ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...with accuracy, and work with the MPS Call Center Manager /Supervisor/Team Lead and analyze the data for training purposes.… more
    CHS (06/14/25)
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  • Claims Processor - Patient Financial…

    Marshfield Clinic (Marshfield, WI)
    …to support the most exciting missions in the world!** **Job Title:** Claims Processor - Patient Financial Services **Cost Center:** 101651259 Prof Billing And ... 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Claims Processor-Patient Financial Services (PFS) investigates held claims . Resolves… more
    Marshfield Clinic (06/26/25)
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  • Claims Representative I

    Elevance Health (South Portland, ME)
    ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (06/28/25)
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