- Providence Health & Services (Renton, WA)
- … claims issues. 7 years of relevant general and professional liability claims processing or management experience Preferred qualifications for this position ... through the Risk & Integrity Services division and Risk, Claims , & Insurance department Providence welcomes 100% remote...include: Certified Professional Healthcare Risk Management (CPHRM) 10+ years of medical malpractice… more
- myPlace Health (Los Angeles, CA)
- …appropriate lengths of stay. Enter and manage authorizations to streamline claims processing . Interdisciplinary Team Collaboration: Attend IDT meetings, hospital ... About myPlace Health myPlace Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health… more
- NTT DATA North America (MO)
- …applicable methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a ... an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team...Processing Associate** to join our team for a remote position. **Role Responsibilities** - Processing of Professional… more
- NTT DATA North America (Orlando, FL)
- NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. **In this Role the candidate will be ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+...be able to work 7am - 4 pm CST online/ remote (training is required on-camera). **Preferred Skills & Experiences:**… more
- NTT DATA North America (MO)
- NTT DATA is seeking to hire ** Remote Healthcare Claims Processing Associates** to work for our end client and their team. This is scheduled to be a 8+ ... fee schedule **Requirements:** + 1+ year(s) hands-on experience in Healthcare Claims Processing + 2+...be able to work 7am - 4 pm CST online/ remote (training is required on-camera). NTT DATA is an… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... knowledge of provider data/processes/requirements related to provider contracting, credentialing, claims processing and state/federal regulations + Ability to… more
- NTT DATA North America (St. Louis, MO)
- …methodology/ fee schedule **Required Skills/Experience** * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years using a ... who work here. NTT DATA is seeking to hire a ** Remote Claims Processor** to work ** remote (MO).** **Role Responsibilities:** * Processing of Professional… more
- Molina Healthcare (San Antonio, TX)
- …experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including ... Medicare standards and requirements related to non-contracted provider dispute/appeals processing . * Establishes member and non-contracted provider grievance/dispute and… more
- IQVIA (Phoenix, AZ)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- NTT DATA North America (Dallas, TX)
- …applicable methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our...+ High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is… more
- NTT DATA North America (Plano, TX)
- …NTT DATA and for the people who work here. NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing ** + 2+...be able to work **7am - 4 pm CST** online/ remote (training is **required on-camera** ). + Effective **troubleshooting… more
- Providence (TX)
- … issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position ... through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote...include:** + Certified Professional Healthcare Risk Management (CPHRM) + 10+ years of medical… more
- NTT DATA North America (Decatur, IL)
- …as assigned. **REQUIREMENTS:** + High School Education. + Minimum 3 years' experience in Healthcare Claims Processing role + Minimum 1 year experience in ... an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a ...Claims Auditor to join our team for a remote position. 100% Remote , Client provides equipment… more
- Henry Ford Health System (Troy, MI)
- …+ Department: Oncology + Schedule: Full-time Days: Monday - Friday + Location: Remote Prepares and issues bills for reimbursement to individual and third party ... in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. .… more
- CenterWell (Topeka, KS)
- …or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and microcomputer ... and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** ,...agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms… more
- TEKsystems (Brookfield, WI)
- …team. This role is critical to our Medicaid line of business expansion and involves processing healthcare claims with accuracy and efficiency. If you have a ... Location: Remote (Must reside in Wisconsin) Schedule: Monday-Friday, 8:00...High school diploma or equivalent. + 1.5+ years of healthcare claims processing experience. +… more
- TEKsystems (Brookfield, WI)
- …& Qualifications MUST: - High school diploma or equivalent preferred. - 1.5-4 years claims processing experience required ( healthcare related) - Knowledge of ... Location: + Remote (must be located in WI) Description As...is reached without resolution. - Monitors computerized system for claims processing errors and make corrections and/or… more
- TEKsystems (Austin, TX)
- …processing in accordance with organizational policies and procedures. Key Responsibilities Claims Processing (60%) + Examine and resolve non-adjudicated ... Job Title: Medical Claims Processor Location: Remote - Must...Diploma or GED + 3+ years of experience in claims processing , billing, and medical terminology +… more
- Insight Global (Nashville, TN)
- Job Description . Support a remote claims processing team, including coordination with an offshore team based in India. . Assisting with end-to-end claims ... Must have high school diploma or GED, degree preferred . 10+ years of Medicare claims processing experience with knowledge of CPT4 and ICD10 codes, UB04s and… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will… more
