- Jazz Pharmaceuticals (Seattle, WA)
- …accounts and uncovering business opportunities. Experience working with billing and medical claims personnel in healthcare settings preferred. Proficient with MS ... surrounding Commercial Payers, state Medicaid Agencies, Managed Medicaid Organizations, Healthcare Maintenance Organizations, Pharmacy Benefit Organizations, Health Care Plans,… more
- Johnson & Johnson (Seattle, WA)
- CSATS is recruiting for a Manager , Data Science and Statistician located in Seattle, WA Johnson and Johnson Medical Device Companies The Johnson & Johnson Medical ... future of health through differentiated products and services. CSATS is hiring a Manager , Data Science and Statistician to work on measuring healthcare surgical… more
- Suji's Korean Cuisine (Seattle, WA)
- …within an organization, then we welcome you to apply for the Quality Assurance Manager position. This is a home based position on the eastern portion of the ... A' A' A' Assist with UDSA submissions and regulator claims approvalsA cents - A' A' A' A' A'...benefits package consists of a range of benefits including healthcare coverage, paid time off, and professional training.Compensation: Based… more
- Arch Staffing & Consulting (Miami, FL)
- …basis, as required Qualifications: . Bachelors Degree or equivalent preferred . Healthcare claims experience preferred. . Customer Service Contact Center ... guidelines. The Claims Examiner will be responsible for processing claims for all healthcare line of businesses (direct contracts, PPO's ) reviewing complex … more
- Renown Health (Reno, NV)
- …established by the Director. Nature and Scope: This position must possess extensive healthcare claims knowledge and have been responsible for the appropriate, ... Charge Review Work Queues, Claim Edit Work Queues and claims processing, remittance adjudication, the balancing of cash and...Other related duties and overtime may be required. The Manager will work closely with the Revenue Cycle Management… more
- The CSI Companies (Santa Ana, CA)
- Title of Job: Senior Business Analyst- Healthcare Claims The Opportunity: We are hiring a remote Senior Business Analyst- Healthcare Claims for our ... years of NetworX Pricer experience 2+ years of Facets Claims experience 2+ years of Facets Provider/Facility Data Management...you grow in your career path in the fast-paced healthcare industry. You, your team and your manager… more
- Arch Staffing & Consulting (Miami, FL)
- …A' . A' A' A' Bachelors Degree or equivalent preferred A' . A' A' A' Healthcare claims experience preferred. A' . A' A' A' Customer Service Contact Center ... guidelines. The Claims Examiner will be responsible for processing claims for all healthcare line of businesses (direct contracts, PPOA cents € (TM) sA cents… more
- ALTA IT Services LLC (Washington, DC)
- …applications. * Experience in Claims processing and must be familiar with claims processing in healthcare industry. * Experience processing claims using ... in Washington DC. Candidates must have experience testing 837 Claims Testers. Please contact [Click Here to Email Your...Work directly with members (Requirement Analysts, Developers, and Project Manager ) of the project to deliver a quality product… more
- Alivi (Doral, FL)
- ABOUT THE POSITION: We are seeking an energetic, innovative and entrepreneurial Claims Manager to join our growing team in Doral, Florida. The Claims ... Manager is responsible for the following: RESPONSIBILITIES/TASKS: The Claims Manager manages the operational activities and...Fees, Cap, Global and value based) 3-5 years of Claims Management experience in a healthcare organization… more
- OfficeTeam (Miami, FL)
- …services insurance company with a passion for our clients and our team as a Insurance Claims Manager in the Miami area. In this role as a Insurance Claims ... goals and objectives Perform other duties as assigned. Insurance Claims Manager candidates with Bachelor's degree (JD...and ICD-9 codes Minimum 3 years work experience in claims operations environment in the healthcare insurance… more
- A-Line Staffing Solutions (Vancouver, WA)
- …is responsible for the investigation, evaluation, adjudication and resolution of claims and lawsuits presented against PeaceHealth consistent Premier claims ... and analyzes liability, causation and damages to determine exposure and resolves claims by denial, settlement or alternative resolution. Establishes reserves for all… more
- Southwestern Health Resources (Dallas, TX)
- …for any reason either byresearch, established processes or by coordinating with Claims Supervisor orClaims Manager . Collects and analyzes data toevaluate ... initiatives within theClaims Department to improve the efficiency and quality of our claims processesin order to achieve optimal performance as well as conform to… more
- ParkMed "America's Exclusive Healthcare Parking,… (Cincinnati, OH)
- …field staff Communicate with field about operational changes Handle Patient/Guest-Issues/Complaints/ Claims Create solutions for operational problems Respond to and ... Issues Responsible for Employee Terminations Employee Recognition Worker's Comp Claims Reporting Create/Publish a schedule Approve/Deny trades and time-off Forecast… more
- National General Insurance (Ontario, CA)
- …and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair ... claim assignments and verify/investigate coverage and document all appropriate information before Manager is involved with review of claims to ensure they… more
- PeaceHealth (Vancouver, WA)
- PeaceHealth is seeking a Claims Manager for a 1.0 full time equivalent Exempt position. This position will be working Day shift with shift durations of 8 Hours . ... is responsible for the investigation, evaluation, adjudication and resolution of claims and lawsuits presented against PeaceHealth consistent Premier claims … more
- NTT DATA Services (Miami, FL)
- …DATA Services and for the people who work here. NTT DATA Services currently seeks a Claims Manager to join our team in Miami , Florida (US-FL) , United States ... you will be responsible for: Overseeing the Analysis and processing of claims transactions in accordance with plan provisions Overseeing claims adjudication… more
- National General Insurance (Cleveland, OH)
- …and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair ... claim assignments and verify/investigate coverage and document all appropriate information before Manager is involved with review of claims to ensure they… more
- National General Insurance (Miami, FL)
- …claim assignments and verify/investigate coverage and document all appropriate information before Manager is involved with review of claims to ensure they ... and summarize claims in excess of authority and submit to manager for approval Evaluate settlement alternatives by reviewing regulatory compliance and fair … more
- CalOptima (Orange, CA)
- …provider claims inquiries, procedural or special requests adhering to claims processing policies and procedures. Informs Supervisor/ Manager of department ... inventory status - (high volume, aging claims , etc.) Represents Supervisor/ Manager at meetings in their absence as appropriate. Other projects and duties as… more
- Christus Health (Irving, TX)
- Description Under the supervision of the Claims Department Manager , this position is responsible for balancing workloads, assisting with the establishment of ... and process and implementation and maintenance of oversight within the Claims Department. Monitoring of claim processing production and quality are required.… more
