- Providence (TX)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote work for… more
- Sedgwick (Dover, DE)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote ADA Accommodation Coordinator- Bilingual French, Hindi, Bengali or more **We are ... looking for Remote candidates who are bilingual in any of these...within the United States. **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and… more
- Sedgwick (St. Louis, MO)
- …Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim ... caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor… more
- McLaren Health Care (Shelby Township, MI)
- …department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately ... **:** 1. Responsible for completing quality assurance audits on professional coding specialists , onboarding audits and training of newly hired coding specialists… more
- Robert Half Accountemps (Spokane, WA)
- …multiple detail-oriented and experienced healthcare Collections & Accounts Receivable (A/R) Specialists to support a long-term collections project. This role is 100% ... remote , but candidates must be able to work standard...following up on high volume and aged and backlogged claims . You should have experience with both government and… more
- Trinity Health (Livonia, MI)
- …and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, ... ESSENTIAL FUNCTIONS: 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Teams, Global Value & Real-World Evidence Teams, and Publications Management Specialists to plan and execute publication activity. **Job Description** + Lead ... post-congress coverage reporting + Collaborate with Publications Management Team specialists to manage publication vendors, budgets, and operational activities as… more
- AdventHealth (Altamonte Springs, FL)
- …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts… more
- Centene Corporation (Jefferson City, MO)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Johns Hopkins University (Baltimore, MD)
- …III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications and ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy denials and… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Virtua Health (Mount Laurel, NJ)
- At Virtua Health , we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to ... care you need. Whether that's wellness and prevention, experienced specialists , life-changing care, or something in-between - we are...or something in-between - we are your partner in health devoted to building a healthier community. If you… more
- RWJBarnabas Health (Oceanport, NJ)
- …III - (Medicare)Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding Quality Location: ... and/or RN also encouraged. Scheduling Requirements: + Position is primarily remote with occasional onsite requirement. Essential Functions: + Ensures the accuracy… more
- BayCare Health System (NC)
- …largest employers within the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the State of Florida, Georgia, South Carolina, or ... + **Days:** Monday - Friday The **Inpatient** **Coding Auditor** is a full-time remote position. This team member must currently reside in Florida, Georgia, or North… more
- Lincoln Financial (Washington, DC)
- …NC (North Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is not available for ... be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …support to bridge care gaps. In Otsuka's evolved customer engagement model, a Health Science Advisor (HSA) will engage HCPs through a variety of in-person, virtual ... products and the approved conditions they treat. Otsuka's Clinical and Scientific Specialists (CSS) will provide deep clinical expertise on-demand and will engage… more
- Modernizing Medicine (Boca Raton, FL)
- …2024 Black Book Awards, ranked #1 EHR in 11 Specialties + 2024 Spring Digital Health Awards, "Web-based Digital Health " category for EMA Health Records ... Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are...Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US. ModMed… more
- Molina Healthcare (Seattle, WA)
- …and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …phone, email, and chatter. A primary focus in supervising the Customer Order Specialists (COSs), is ensuring customer service is at the forefront of everything they ... activities. This role regularly communicates with field sales personnel, patients, health care providers, health Insurance (payor) representatives and referral… more
- Humana (Sacramento, CA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more