- 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, ... eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to process claims in the most… 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
- 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
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 Shircliff ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … 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....experience, if applicable. PREFERRED EXPERIENCE: + Two years of claims and charge entry experience preferred Additional Information +… more
- TEKsystems (Honolulu, HI)
- Description The Claims Manager will oversee the claims processing operations, ensuring accuracy, efficiency, and compliance with regulatory requirements. ... lines of business, including Medicare, Medicaid, and commercial insurance. Key Responsibilities: Claims Processing : Oversee the end-to-end claims … more
- TEKsystems (Honolulu, HI)
- …a local company seeking a Claims Manager will oversee the claims processing operations, ensuring accuracy, efficiency, and compliance with regulatory ... one of our recruiter will reach out to you. Key Responsibilities: + Claims Processing : Oversee the end-to-end claims processing operations. Thorough… more
- Serco (NM)
- …The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. ... excellent customer support. If you are proficient in using technology to facilitate claims processing and communication, we want to hear from you. **As a … more
- UMB Bank (Kansas City, MO)
- …resolution, and weekly reporting. Assisting with ongoing monthly audit and reporting of vendor claims processing to ensure compliance with Reg E and Reg Z ... _MINIMUM:_ + Demonstrates in-depth knowledge of back-office card fraud and non-fraud claims processing . + Demonstrate knowledge of Reg E and Reg Z policies and… more
- CenterLight Health System (NY)
- …+ Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Attend Joint Operating ... + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software. + Effective oral, written, and… more
- TEKsystems (Reston, VA)
- …years claims experience required Preferred Qualifications Three years medical claims processing billing or medical terminology experience. Experience using ... the FACETS Claims processing application Knowledge Skills and Abilities KSAs Demonstrated communication skills both written and verbal. Demonstrated strong… more
- Dignity Health (Bakersfield, CA)
- … Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... **Minimum Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related role within a managed care… more
- Serco (NM)
- …The successful candidate will leverage their five years of experience in claims processing and disaster-related evaluations to develop and implement effective ... you will:** + Assist in the development and execution of plans for processing disaster-related claims . + Interpret complex federal policy language, including… more
- CenterLight Health System (NY)
- …RBRVS + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software. + Effective oral, written, ... JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and...tickets and configuration updates. + Ensure accurate logging and processing of refund checks to facilitate timely crediting and… more
- ManpowerGroup (Linthicum Heights, MD)
- …As a Health Claims Coordinator, you will be part of the medical claims processing department supporting the efficient management of healthcare claims . ... **What's Needed?** + High School Diploma or Equivalent. + Minimum one year of Claims Processing experience. + Typing speed of 60 words per minute. + Knowledge of… more
- Healthfirst (NY)
- …contract terms, prepare fee schedules and accurately document file changes into the claims processing system + Research and identify published updates to payment ... for new and existing claims business rules within the claims processing system. + Identify claims configuration and contract implementation defects… 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 ... ABILITY REQUIREMENTS: . High School Education required. . 3 Years of Claims Processing Experience . TPA Experience Preferred: Experience in the GBAS system… more
- Serco (NM)
- …disaster-related claims and planning. With over five years of experience in claims processing and evaluation, the ideal candidate will excel in interpreting ... policy language, statutes, and regulations, ensuring compliance and efficiency in processing claims . + Conduct detailed evaluations of disaster-related damages… more
- Kelly Services (Glastonbury, CT)
- …preferred, or equivalent work experience + **Experience:** 2-4 years in medical claims processing , billing, or insurance customer service + **Computer Skills:** ... and proprietary software + **Preferred:** Experience with medical coding, billing, or claims processing **Skills & Competencies:** + Strong communication and… more
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