- CVS Health (Franklin, TN)
- …or staffing shortages. **Required Qualifications** * 3+ years of experience in health insurance claims processing , preferably with Medicare Supplement ... At CVS Health , we're building a world of health...**Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … 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
- Molina Healthcare (Phoenix, AZ)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Elevance Health (Miami, FL)
- …and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
- CVS Health (Monroeville, PA)
- …+ 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or ... + 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related… more
- UCLA Health (Los Angeles, CA)
- …you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be ... will: + Coordinate and monitor the daily workflow of claims processing . + Distribute unprocessed claims...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- TEKsystems (Pasadena, CA)
- …the claims system Skills PPO Insurance, Claims , Claims Processing , Member Claims , Health information management Top Skills Details PPO Insurance, ... Claims , Claims Processing ,Member Claims , Health information management Additional Skills & Qualifications Health / Medical Claims experience -… 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
- CVS Health (Tallahassee, FL)
- …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- Independent Health (Buffalo, NY)
- … payment. Technical Proficiency and Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to ... Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental… more
- General Dynamics Information Technology (Menands, NY)
- …integration testing best practices, experience with manual testing tools and have knowledge of health care claims processing . We are looking for a qualified ... as an individual. + Preferred Skills: + MMIS related claims and ancillary transaction processing + Knowledge...at home + 401K with company match + Comprehensive health and wellness packages + Internal mobility team dedicated… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Time.* **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for ... . + Coordinates periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality… more
- 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, ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...We are all about our team members growth and health . That why we prioritize work/life balance, community-based wellness… 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
- City and County of San Francisco (San Francisco, CA)
- …of the eligible list. Under general supervision, supervises a unit involved in processing health care claims for reimbursement: monitors accounts, bills ... The Department of Public Health prioritizes equitable and inclusive access to quality...+ Provides immediate supervision to a staff involved in processing claims for reimbursement; reviews work of… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Claims Processing Operations Lead,** you will help improve revenue ... transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one...skills, you will identify root cause issues and recommend claims processing corrections and system fixes. Every… more
- IQVIA (Cleveland, OH)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 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
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY + Department: Claims + Schedule: Full-time Days: + Location: Remote Prepares and issues bills for reimbursement to individual and third party payers ... in an out-patient or medical office environment. Responsibilities: + Prepares insurance claims for submission to third party payers and/or responsible parties. +… 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....duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
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