- BroadPath Healthcare Solutions (Tucson, AZ)
- …management **Qualifications** + High school diploma or equivalent + 1-3 years of medical claims processing experience + Medicare Claims Experienc + Knowledge ... to maintain focus in a high-volume, production-oriented environment + Proficiency with claims processing software and technology + Understanding of medical… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …will be crucial in maintaining our high standards of accuracy and efficiency in claims processing . **Compensation Highlights:** + Base Pay: $18.00 per hour + Pay ... performance under demanding production and quality standards + Technical proficiency with claims processing software + In-depth understanding of complex … more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …appropriate + Work effectively in a virtual, work-from-home environment while accurately processing claims **Qualifications** + 2+ years of recent health ... insurance claims processing experience + Ability to maintain balanced performance across production and quality + Ability to uphold confidentiality and present a… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing . Act as a key resource and contact for clinical coding, ... in response to cross-functional requests to inform accuracy and consistency for claims processing , reimbursement, benefit, and product configuration issues. +… more
- Lyric (Newtown Square, PA)
- … edit/denial management + 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional Coders (CPC) ... insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes), and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …foundational Utilization Management experience + General understanding of health plan operations, claims and eligibility systems, claims processing , and ... Texas Department of State Health Services + Background in benefits, claims processing , or membership **Diversity Statement** _At BroadPath, diversity… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address… more
- Port Authority of New York and New Jersey (New York, NY)
- …and or other data management tools. + Familiarity with Certificates of Insurance and claims processing + Experience with data analysis and reporting tools + ... and change-management initiatives, Certificates of Insurance review, data analysis, claims support, and risk-transfer activities. This role provides meaningful… more
- US Physical Therapy (Sanford, FL)
- …and resolving insurance-related issues + Coordinate with billing department for accurate claims processing **Qualifications** + 2+ years of experience in ... benefits, and eligibility for patients while ensuring accurate and timely processing of insurance information. + Verify patient insurance coverage, benefits, and… more
- Lyric (Newtown Square, PA)
- …Engineering as the client base grows Required Qualifications: + Experience in healthcare, claims processing , or Payment Integrity environments. + 5-8 years of ... experience in application support, software development, or a hybrid support/engineering role. + Hands-on development experience in front-end (Angular) **or** back-end (.NET Core/C# ) environments. + Solid understanding of Microsoft Sql Server, T-SQL, stored… more
- Lyric (Newtown Square, PA)
- …HL7, FHIR) is a plus? + Background in healthcare payer operations or claims processing systems?is preferred + Relevant certifications in cloud platforms or ... healthcare technology standards?is a plus The US base salary range for this full-time position is: $122,425.00 - $183,638.00 The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …geography: national and regional health plan medical directors, policy analysts, claims processing , key practice managers, state/national societies + Serve ... as strategic field lead to develop strategic implementation plans to influence targeted national/regional managed care customers to ensure favorable market access policy of Olympus supported products + Provide real-time resolution for reimbursement questions… more
- SMBC (White Plains, NY)
- …Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Risk mitigation discipline + Identification ... and escalation of settlement breaks as needed. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary systems. + Identify opportunities for… more
- SMBC (White Plains, NY)
- …+ Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Investigations of failed settlements from ... detection to resolution. + Mitigation of operational risk and timely escalation. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …submitting provider offices), answering the phone (including all calls regarding authorization processing , claims related phone calls, and any other calls ... tasks. This includes, but is not limited to, initial authorization processing (data entry, eligibility verification, benefits verification, and requesting required… more
- Champion Home Builders Inc. (Strattanville, PA)
- …communication. + Benefits administration. + Records management. + Handle unemployment claims . + Payroll Processing . + Maintain confidentiality. + Administer ... Safety and Worker's Compensation + Perform other related HR or administrative duties as required. **Qualifications:** + Bachelor's degree or higher in Human Resource Management, business, or related field; or equivalent. + Minimum of 3 years of HR or similar… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation ... Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the third-party administrator (TPA)… more
- Kaiva Tech (Washington, DC)
- Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer Location: Washington, DC Clearance: 5C Public Trust Position Type: Full-Time, Hybrid/Remote Position ... to support our federal government customer in reviewing and adjudicating claims submitted under an agency-managed program. This role involves evaluating claim… more
- Unknown (San Antonio, TX)
- …manage teams, collaborate with other departments, and ensure the accurate processing of claims and payments.andlt;/pandgt; andlt;pandgt;The position demands a ... high level of expertise in leveraging technology to streamline operations and implement best practices. The role requires significant experience with revenue cycle technology platforms, data analysis, and reporting tools to drive strategy and performance. The… more
- Morley (Saginaw, MI)
- …you need to know. No auto experience needed! As a remote Vehicle Processing Clerk (Disposition Coordinator) at Morley, you'll help people across the country return ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
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