- System One (Fairfax, VA)
- … Claims Adjuster for a contract-to-hire opportunity with one of our health insurance clients. This role involves investigating and adjusting insurance ... have strong analytical capabilities, attention to detail, and a solid understanding of insurance claims practices. Pay: $26.75 100% Remote Essential Functions: +… more
- USAA (Tampa, FL)
- …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement ... + Interprets relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. +...advanced medical expertise by serving as primary resource for Health Claims for the approach to medical… more
- Highmark Health (Frankfort, KY)
- …+ Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience ... processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss … more
- UCLA Health (Los Angeles, CA)
- …play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be responsible for ... monitoring claims workflows, coordinating with internal departments, and maintaining compliance...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… 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
- Hackensack Meridian Health (Edison, NJ)
- …field. + Ten (10) years of progressive HIM leadership experience in a complex health insurance / claims environment. + Experience with a major electronic ... serve as a leader of positive change. The **Vice President of Health Information Management** provides executive leadership for Hackensack Meridian _Health_ 's… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
- Elevance Health (South Portland, ME)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- Elevance Health (Houston, TX)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided at all clinics. ... codes + Enter the correct codes into patients- electronic health records + Review claims to make...with other staff members to ensure accuracy + Enter insurance claims into specialized billing programs +… 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
- Robert Half Accountemps (Cincinnati, OH)
- …attend in-person meetings or training sessions. Responsibilities: * Process and submit mental health insurance claims , adhering to federal, state, and ... EMR or comparable clinical billing systems in a mental health setting. * Comprehensive knowledge of insurance ...insurance billing practices, including Medicaid, Medicare, and private insurance claims . * Minimum of two years'… 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
- UTMB Health (Galveston, TX)
- …Statistics or Biostatistics. + Experience in analyzing health outcomes from health insurance claims data. **Job Summary:** Provides statistical support ... **Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # 2500488 **Minimum Qualifications:** Masters degree in Biostatistics,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …will consider collective experience, training, and education. + 5 years experience in health insurance claims and/or customer service or related operational ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We... care benefits (products, covered services, definitions, etc.), and claims adjudication. + Understanding of corporate procedures, policies and… more
- Robert Half Office Team (Rochester, NY)
- …of claims and customer requests. * Provide guidance on employee benefits, health insurance , and claims processes when necessary. Requirements * ... navigate multiple systems and screens. * Prior experience in employee benefits, health insurance , or claims administration is a plus. * Excellent… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …delivery science. * Prior experience analyzing administrative health care data (EHRs, health insurance claims , or cancer registry data). * Superior ... research projects generally use sources of secondary real-world data ( insurance claims , EHRs, cancer registries, death certificates)...electronic health record ( EHR )-derived data, insurance claims , and geographic data to rapidly… more
- Baylor Scott & White Health (Dallas, TX)
- …health system technologies (EMRs, virtual health , remote monitoring) and health insurance technologies ( claims systems, network management solutions). ... large healthcare system preferred, including provider services, care support functions, and health insurance functions. 8. Ability to lead cross-functional teams… more
- AbbVie (North Chicago, IL)
- …traditional randomized clinical trials that make use of real-world databases, eg electronic health records, insurance claims databases, and/or registries. + ... is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to… more