- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …including PFS-RVU, AP-DRG, APC + Experience in working with claim platform & prepay claims editing systems (Nasco, ClaimXten, CES, Cotiviti PPM/CV) It is our ... your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** In collaboration with the Medical Director , the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and ... medical policy and operating procedures are accurately operationalized for optimal claims adjudication and utilization management. **We are looking for an… more
- TERROS, Inc. (Phoenix, AZ)
- …+ High School diploma or equivalent + Working knowledge of managed care operations and claims billing systems required. Working knowledge of NextGen EHR/EPM ... orking at our Central Avenue location in Phoenix,AZ . Reporting to the Director of Revenue Cycle , the ideal individual is flexible, compassionate and professional.… more
- Insight Global (Washington, DC)
- …and post-travel documentation required by the Federal Travel Regulation (FTR) processing claims ; ensuring the Director and Senior Leadership is aware of ... of the required action from inception to completion; reviewing and editing , updating, consolidating, formatting and manipulating Microsoft Word documents, Microsoft… more