- CenterWell (Atlanta, GA)
- …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
- Humana (San Juan, PR)
- …In** The Claims Review Representative partners with professional staff on pre -screening review by applying guidance and making an appropriate decision which may ... caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on...accrual + Tuition Reimbursement + Parent Leave **Work at Home Requirements** + To ensure Home or… more
- Ventura County (Ventura, CA)
- Veterans Claims Officer I/II/III Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5076468) Apply Veterans Claims Officer I/II/III Salary ... earned. The Human Services Agency (HSA) is seeking Veterans Claims Officers for the County Veteran Services Office. There...insurance is free for all employees enrolled in a healthcare plan. + Flexible Spending Accounts - Choice of… more
- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals,… more
- DriveTime (Tampa, FL)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... 1 million service contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **Responsibilities of the Job (Or Better… more
- HCA Healthcare (Denver, CO)
- …is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) AVP ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- General Dynamics Information Technology (Fairfax, VA)
- …independently or as a part of a group + Preferred Qualifications: + Healthcare billing and claims experience + Teaching/training experience + Experience with ... company to external and/or internal customers, supporting Medicaid related claims and billing questions. You will provide assistance and...week to own your priorities at work and at home * Community: Award-winning culture of innovation and a… more
- HCA Healthcare (Tallahassee, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
- Humana (Lincoln, NE)
- …claims in accordance with TRICARE policy requirements. This role involves reviewing pre -payment, high dollar claims to assess payment accuracy and identify ... **Become a part of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of … more
- Mass Markets (Killeen, TX)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Manage inbound and… more
- Humana (Nashville, TN)
- …+ Previous encounter submissions experience + Prior internship or experience in healthcare data management, claims processing, or actuarial services + Working ... knowledge of Microsoft SQL or SAS + Understanding of healthcare encounter data and basic knowledge of claims submission and reconciliation processes. + Strong… more
- Mass Markets (AR)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Listen to customers,… more
- Mass Markets (ND)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more
- Sedgwick (Miami, FL)
- …from our office and your home **Health & support** + Private healthcare plan (including pre -existing conditions) + Life assurance + Employee assistance ... Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy… more
- Humana (Oklahoma City, OK)
- …certifications (Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to make an impact** **WORK STYLE:** Remote, work at home . While this is a remote position, occasional travel… more
- Humana (Columbus, OH)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
- Humana (Santa Fe, NM)
- … healthcare fraud investigations and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong ... skills to make an impact** **WORK STYLE:** Work at Home . While this is a remote position, occasional travel...AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process… more
- Humana (Juneau, AK)
- …Excel (pivot tables, VLOOKUP, formulas) + Familiarity with Medicaid systems, claims platforms, and reconciliation tools **Work-At- Home Requirements** + At ... existing Medicaid business processes, with a focus on eligibility, enrollment, claims , and compliance workflows. This role develops sustainable, repeatable, and… more
- University of Pennsylvania (Philadelphia, PA)
- …and wide variety of atmospheres, Philadelphia is the perfect place to call home for work and play. The University offers a competitive benefits package that ... includes excellent healthcare and tuition benefits for employees and their families,...programming skills to create analytical datasets from health care claims , administrative databases, clinical trials, and surveys to construct… more
- Humana (Harrisburg, PA)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + ... + Bachelor's degree + Minimum 3 + years of healthcare fraud investigations and auditing experience + Knowledge of...operations + Bilingual in Spanish **Additional Information** **Work at Home Requirements** * At minimum, a download speed of… more