- IQVIA (Atlanta, GA)
- …for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will ... **Patient Support Medical Claims Processing Representative** _Contract Remote...+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Henry Ford Health System (Detroit, 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. . Reviews claim rejections and communicates with payers to resolve billing issues. .… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... team that is among the best in the industry. At AXIS, we believe that we are only as...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- New York State Civil Service (Albany, NY)
- …brokers, outside counsel and others, as necessary, for the life of the claim .* Monitor progress of claims and coordinate stakeholders' information/efforts to ... for the Authority and its clients. Ensure carriers establish claim files as appropriate. * Analyze claim ...* Serve on committees/teams as directed.* Review and recommend claims -related invoices and/or payments for processing and… more
- VNS Health (Manhattan, NY)
- … errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established procedures and timelines. ... + Monitors claims processing metrics and identifies opportunities for...processing . + Identifies trends and root causes of claim errors and develops corrective action plans. + Monitors… more
- TEKsystems (Earth City, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... claim is needed. Skills & Qualifications Qualifications: * At least 3 years of proven experience as an...be willing to work Saturdays occasionally. * A high-speed home internet connection and a quiet at -… more
- Henry Ford Health System (Troy, MI)
- …of hire, required. Additional Information + Organization: HAP (Health Alliance Plan) + Department: CLAIM PROCESSING + Shift: Day Job + Union Code: Not Applicable ... GENERAL SUMMARY: Under minimal supervision provide assistance to the Claims Project Analyst to support medical coding (ICD-9, ICD-10, HCPCS, CPT, DRG, and DSM) to a… more
- TEKsystems (Earth City, MO)
- …Growth: Opportunities for professional development and advancement Key Responsibilities: + Claims Processing : Utilize your in-depth knowledge of vehicle ... applications (Email, Teams, Outlook, etc.) and programs used for claims processing , with the ability to navigate...to work Saturdays occasionally. + Remote Work: A high-speed home internet connection and a quiet at -… more
- TEKsystems (Deerfield Beach, FL)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description...be willing to work Saturdays occasionally * A high-speed home internet connection and a quiet at -… more
- NTT DATA North America (Decatur, IL)
- …and insured members. . Assist with audits for assigned group. . Assist with claims processing and over specific for new or backlogged groups. KNOWLEDGE, SKILLS ... providers and case management company for information regarding problem claims . . Print/mail EOBs and claim forms.... High School Education required. . 3 Years of Claims Processing Experience . TPA Experience Preferred:… more
- University of Rochester (Rochester, NY)
- …informed of trends. Remains current on changes in billing requirements associated with claim processing and coding. Qualifications: Associate degree and 2 years ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . Follows established procedure for missing insurance… more
- CenterWell (Topeka, KS)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC...project documents and contractor records to determine if the claim has merit and the value of the … more
- Providence (Renton, WA)
- …senior level claims adjudicator with at least 3 years prior claims processing experience and a proven track record of working with IDX software ... Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO,...Experience with all areas of specialty claim processing (COB, Adjustments, Point of Service, Home … more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a(an) Sr Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up ... plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and… more
- Pacific Medical Centers (Seattle, WA)
- …large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters). + ... needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -...years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO,… more
- St. Luke's University Health Network (Allentown, PA)
- …Knowledge and experience in dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience ... a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified...for up to 8 hours per day, 3 hours at a time. Standing and walking as necessary. Fingering… more
- Aflac (Columbia, SC)
- …does it take to be successful in this role? + Advanced knowledge of claims systems and processing + Broad understanding of human resources laws, regulations, ... of our Aflac offices located in Columbia, SC for at least 60% of the work week. You will...Responsible for the review, determination, and payment authorization of claims ; provides guidance to subordinates regarding general claim… more