- GEICO (Richardson, TX)
- …will allow you to drive results by mentoring, coaching, and developing a team of Auto Claims Specialists . As a supervisor in the Claims Specialists unit, ... Experienced Claims Supervisor: Dallas, TX, Lakeland, FL, Houston, TX...built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that… more
- Providence (TX)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote work for… more
- CVS Health (Montpelier, VT)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- Alight (TX)
- …with the Quality team to close gaps. Serve as an escalation point for the Claims Specialists , and adjust workloads as needed. + Creating and manage short-term ... financially secure workforce by unifying the benefits ecosystem across health , wealth, wellbeing, absence management and navigation. With a...and long-term career goals for Claims Specialists . + Using subject matter expertise… more
- Atrius Health (Chelmsford, MA)
- Atrius Health , an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical ... practice locations in eastern Massachusetts. Atrius Health 's 645 physicians and primary care providers, along with 420 additional clinicians, work in close… more
- Sedgwick (Philadelphia, PA)
- …Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim ... caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor… more
- Trinity Health (Livonia, MI)
- …If applicable, telecommuting (working remotely), must be able to comply with Trinity Health 's and the Region/HM Working Remote Policy. _The above statements are ... documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal… more
- McLaren Health Care (Shelby Township, MI)
- …department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately ... **:** 1. Responsible for completing quality assurance audits on professional coding specialists , onboarding audits and training of newly hired coding specialists… more
- Trinity Health (Silver Spring, MD)
- …and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, ... ESSENTIAL FUNCTIONS: 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2.… more
- AdventHealth (Altamonte Springs, FL)
- …Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... that **together** we are even better. **Job Location** : Remote **Shift:** Full-Time, Monday-Friday **The role you will contribute:**...you will contribute:** The Coder Analyst IV is a Health Information Professional with a high level of coding… more
- AdventHealth (Altamonte Springs, FL)
- …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts… more
- Centene Corporation (Atlanta, GA)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- … health backgrounds (eg licensed therapists, clinical psychologists, behavioral health specialists , Nurse Practitioners and Physician Assistants in behavioral ... health **Must live in IA, MO, KS, NE** **\#LI- Remote ** **Competencies** **Accountability for Results -** Stay focused on...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- RWJBarnabas Health (Oceanport, NJ)
- …III - (Medicare)Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding Quality Pay ... Job Title: Inpatient Coding Quality Officer III - (Medicare) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000183242 Status: Full-Time… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …and drive the ecosystem commercial strategy. + Lead a team of Neuroscience Specialists within an ecosystem to drive appropriate clinical demand and improve patient ... sources (eg, analytics) to inform regional business plans. + Coach Neuroscience Specialists to shape customer plans based on market dynamics to address customer… more
- Virtua Health (Mount Laurel, NJ)
- At Virtua Health , we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to ... care you need. Whether that's wellness and prevention, experienced specialists , life-changing care, or something in-between - we are...or something in-between - we are your partner in health devoted to building a healthier community. If you… more
- BayCare Health System (Tampa, FL)
- …largest employers within the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia, South Carolina, or ... Monday - Friday The **Inpatient** **Coding Auditor** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding… more
- Dignity Health (Bakersfield, CA)
- …with health plans and other key partners. Coordinates with Claims , UM, Compliance, and Finance for cross-functional integration and execution. - Ensures ... **Responsibilities** This position is remote .** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic… more
- RWJBarnabas Health (Oceanport, NJ)
- …(All Other Payer)Req #:0000138249 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding South Pay ... Inpatient Coding Quality Officer I - (All Other Payer) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000138249 Status: Full-Time Shift:… more
