- Creative Financial Staffing (Grand Rapids, MI)
- …to succeed. This company is located in Michigan and this position can be remote , however this Billing Supervisor needs to live within Michigan. Our client offers ... excellent perks including; great healthcare benefits, flexible schedule, 4+ weeks of PTO and...phases of accurate billing of primary, secondary, and tertiary claims to Medicare, Medicaid, Commercial, Work Comp, Automotive, and… more
- Trinity Health (Farmington Hills, MI)
- …Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $16.4877-$24.7316) Performs day-to-day billing and follow-up… more
- Health Plans, Inc. (Dallas, TX)
- …Experience + Understanding of claims processing systems + 2+ years of healthcare claims processing (PPO and Medicare/RBP) + Detailed understanding of PPO ... Employers Health Network, LLC (EHN ) creates community-based healthcare networks and a unique governance model to form a true partnership between self-funded… more
- Medical Mutual of Ohio (Centerville, OH)
- **_The SDC - Claims /Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an Ohio ... of life. In this blended role, processes routine to moderately complex claims , while handling inbound calls and written inquiries (multiple channels) from members,… more
- CGI Technologies and Solutions, Inc. (Baltimore, MD)
- …both quantitative and qualitative pricing/contracting analyses to support the drug claims /rebate ecosystem. * Understand the US healthcare market, Medicare ... **Drug Claims Processing SME** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, Remote **Alternate… more
- Centene Corporation (Jefferson City, MO)
- …workplace flexibility. **Position Purpose:** Manage the prospective review of high risk claims to ensure payment integrity and provide immediate feedback on findings ... including high dollar claims , coaching for quality review claims and internal audits. Create ODS reports of known manual processing issues to increase quality… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing Pulmonology + **Schedule:** Days Monday- Friday, hybrid remote , 2 days onsite, 3 days remote . 7:30a-4:00p + ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _*Please note, benefits… more
- Modernizing Medicine (Boca Raton, FL)
- …in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US. ModMed (https://www.modmed.com/company/) is ... door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company… more
- Centene Corporation (Tallahassee, FL)
- …responsibilities include managing enterprise mail intake (first time claims , appeals/grievances, correspondences and returned mail), hard copy distribution; ... new product implementations. **Education/Experience:** Bachelor's degree in Business Administration, Healthcare Administration, or related field. Master's degree preferred. 8+… more
- Centene Corporation (Jefferson City, MO)
- …preferred. + 7+ years of professional management level experience in healthcare operations, compliance, finance, or program management required. + Knowledge and ... of compliance regulations and practices, specifically as they relate to healthcare products required. + 3+ years of supervisory/management experience required. +… more
- The Cigna Group (Nashville, TN)
- …payers and/or patients on outstanding accounts. + Escalates delinquent and/or complex claims to Sr. Billing & Reimbursement Specialists for appropriate action. ... operating procedures to edit, bill, and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic… more
- Molina Healthcare (California City, CA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible ... and has a direct impact on medical expenses and premium reimbursement . **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for… more
- The Cigna Group (Bloomfield, CT)
- …and solutions that align to Cigna's overall value proposition of lowering total healthcare costs. + Act as Pharmacy Sales support for renewals involving consultants. ... sales teams. + Support detailed ad-hoc analysis of pharmacy claims utilization in order to provide clients with proactive...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …maintains various files and information for the department ensuring proper reimbursement **.** Works collaboratively within the department to ensure licensing, ... gross margin according to plan. THIS IS NOT A REMOTE POSITION. OFFICE WILL BE IN SYRACUSE OR GOUVERNEUR,...+ Responsible for PBM related billing communications regarding better reimbursement strategies and issues faced to all locations. +… more
- Conduent (Los Angeles, CA)
- …Specialist is responsible for analyzing medical claims data, seeking reimbursement , and recovering overpayments from healthcare providers, third parties, ... Part A, Part B and Part D + Health Insurance, and Medical. + Healthcare reimbursement in different settings (ie, Inpatient, Outpatient, home health, long term… more
- Bozeman Health (Bozeman, MT)
- Approved Remote States 1. Arizona 2. Florida 3. Georgia 4. Idaho 5. Indiana 6. Iowa 7. Maine 8. Michigan 9. South Dakota 10. Texas 11. South Carolina 12. North ... Insurance Billing Specialist's main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities, hospital (HB) and/or… more
- Trinity Health (Farmington Hills, MI)
- …overpayment and underpayment accounts with the objective of appropriately optimizing reimbursement for services rendered. Ensures that claims are paid/settled ... **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment… more
- Two95 International Inc. (New York, NY)
- …research preferred (but not required) * 10+ years of experience in healthcare data analysis (including EMR/EHR, claims , eligibility and publicly available ... Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with...* Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively… more
- Medical Mutual of Ohio (OH)
- …remote position. Eastern Time Zones preferred._** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider ... Works on various projects related to the analysis of claims , clinical and financial data, with a focus on...Reimbursement Analyst** + Bachelor's degree in business or healthcare administration, finance, accounting or related field. + 5… more
- Stryker (San Jose, CA)
- …support market access strategies + Anticipate change, analyze potential access and reimbursement issues and opportunities in the healthcare landscape impacting ... health services, or related field required + 3+ years experience in reimbursement , medical billing and claims analysis experience preferred. + Experience… more
