- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
- University of Utah Health (Salt Lake City, UT)
- …**Qualifications** **Required** + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims . + ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health ...if adjustment is necessary. + Adjusts and documents medical claims or electronic records. + Researches and verifies appropriate… more
- Molina Healthcare (New Haven, CT)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Elevance Health (Miami, FL)
- …and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
- CVS Health (Monroeville, PA)
- …+ 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or ... + 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related… more
- UCLA Health (Los Angeles, CA)
- …you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be ... will: + Coordinate and monitor the daily workflow of claims processing . + Distribute unprocessed claims...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- TEKsystems (Pasadena, CA)
- …the claims system Skills PPO Insurance, Claims , Claims Processing , Member Claims , Health information management Top Skills Details PPO Insurance, ... Claims , Claims Processing ,Member Claims , Health information management Additional Skills & Qualifications Health / Medical Claims experience -… more
- AdventHealth (Maitland, FL)
- … claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- CVS Health (Tallahassee, FL)
- …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- Hackensack Meridian Health (Edison, NJ)
- …relevant field. + Minimum of 10 years of experience in healthcare receivables, health insurance claims processing , or healthcare customer service, including ... inpatient, outpatient, and specialty areas across the Hackensack Meridian Health (HMH) network. Provides management, coordination, and standardization of follow-up… more
- Independent Health (Buffalo, NY)
- … payment. Technical Proficiency and Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to ... Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental… more
- General Dynamics Information Technology (Menands, NY)
- …integration testing best practices, experience with manual testing tools and have knowledge of health care claims processing . We are looking for a qualified ... as an individual. + Preferred Skills: + MMIS related claims and ancillary transaction processing + Knowledge...at home + 401K with company match + Comprehensive health and wellness packages + Internal mobility team dedicated… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Time.* **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for ... . + Coordinates periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is a full time 40-hour, ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...We are all about our team members growth and health . That why we prioritize work/life balance, community-based wellness… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office** **Department:** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- City and County of San Francisco (San Francisco, CA)
- …of the eligible list. Under general supervision, supervises a unit involved in processing health care claims for reimbursement: monitors accounts, bills ... The Department of Public Health prioritizes equitable and inclusive access to quality...+ Provides immediate supervision to a staff involved in processing claims for reimbursement; reviews work of… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Henry Ford Health System (Farmington Hills, MI)
- …in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. . ... Reviews claims for accuracy, including proper diagnosis and procedure codes....duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 Shircliff ... Florida 32204-4757 United States **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… more
- Liberty IT Solutions, LLC (Boston, MA)
- …Knowledge of EDI file types: X12, XML, JSON, NCPDP, and flat files Knowledge of health claims processing Vetting: Applicants selected will be subject to a ... government investigation and may need to meet eligibility requirements of the US government client. ThunderYard Solutions is proud to be an Equal Opportunity Employer. We don't just accept difference - we celebrate it, we support it, and we thrive on it for… more