- Wipfli LLP (Milwaukee, WI)
- … healthcare operations, or a related client-facing role. + Familiarity with healthcare systems (eg, EHRs, claims processing platforms) and regulatory ... ensuring compliance with industry regulations. + Analyze and reconcile healthcare -related financial and operational data, including claims , reimbursements,… more
- Lyric (Newtown Square, PA)
- …and Engineering as the client base grows Required Qualifications: + Experience in healthcare , claims processing , or Payment Integrity environments. + 5-8 ... Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business...preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to… more
- Lyric (Newtown Square, PA)
- …standards and regulations (HIPAA, HITRUST, HL7, FHIR) is a plus? + Background in healthcare payer operations or claims processing systems?is preferred + ... Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business...preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …appropriate + Work effectively in a virtual, work-from-home environment while accurately processing claims **Qualifications** + 2+ years of recent health ... insurance claims processing experience + Ability to maintain balanced performance across production and quality + Ability to uphold confidentiality and present a… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …in managed care, preferably within a medical management department with exposure to claims and member services + Familiarity with healthcare environments is a ... and CPT coding + 2+ years in managed care, preferably in medical management, claims , or member services + Experience in healthcare or insurance settings… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing . Act as a key resource and contact for clinical coding, ... in response to cross-functional requests to inform accuracy and consistency for claims processing , reimbursement, benefit, and product configuration issues. +… more
- Lyric (Newtown Square, PA)
- …healthcare . Analyze and interpret Medicaid state and federal policies to guide claims processing and payment accuracy decisions for health plan clients ... Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business...programs. + 5+ years of experience in Medicaid policy, claims processing , and medical coding + 5+… more
- Lyric (Newtown Square, PA)
- …health insurance payers including commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes), medical coding, ... to hire date. + 8 years or more relevant healthcare experience as a medical coder, medical claims... healthcare experience as a medical coder, medical claims adjuster, medical claims processor, chart reviewer/auditor,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …scheduling translation services Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or ... terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural curiosity Strong… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by ... ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF)… more
- COOLSOFT (Raleigh, NC)
- …testing - Provides technical support during and after implementation for healthcare electronic data interchange applications - Responds to inquiries regarding EDI ... issues with encounter claims and trading partner activities - Management of catalog...support of the EDI system - Troubleshoot EDI document processing errors and work with trading partners directly to… more
- Williams Companies (North Canton, OH)
- …+ Reviews contractor schedules, execution plans, and extra work claims + Develops and runs construction progress reporting; leads construction ... and documentation requirements + Anticipates and proactively addresses potential issues and claims + Provides onsite leadership to our inspection team + Other duties… more
- Organon & Co. (Plymouth Meeting, PA)
- …(3PL) providers. This role involves overseeing the timely and accurate processing of customer orders, ensuring effective invoicing, managing accounts receivable, and ... cash application, in coordination with 3PL providers. - Ensure timely and accurate processing of customer orders and invoices, working closely with 3PL partners to… more
- BeOne Medicines (San Mateo, CA)
- …learning techniques to analyze complex datasets related to market access, healthcare economics, and patient outcomes. + Foster cross-business collaboration, and work ... of AI methodologies such as machine learning, natural language processing , and predictive analytics. + Experience working with organized...customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs,… more
- Cognizant (Helena, MT)
- …insurance systems (Medicare, Medicaid, commercial payers). + 2-4 years of experience in US healthcare claims processing + Familiarity with claims ... in office- Winston-Salem, NC- REQUIRED* **Job Summary** Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your… more
- NTT DATA North America (Plano, TX)
- …applicable methodology/ fee schedule **Requirements:** + 3 year(s) hands-on experience in ** Healthcare Claims Processing ** + **In-depth, hands-on, practiced ... and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client. **NOTE** : This is a US based,… more
- NTT DATA North America (Plano, TX)
- …applicable methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
- NTT DATA North America (Plano, TX)
- …applicable methodology/ fee schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a ... of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **Note** : This… more
- CVS Health (Franklin, TN)
- …(2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three (1-3) years call center ... Summary** This role will have a focus on training Claims processing and Claims Call...**Education** + Bachelor's Degree and/or equivalent work experience in claims training and/or claims knowledge/ healthcare… more
