- Highmark Health (Frankfort, KY)
- …+ Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience ... processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss … more
- 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 day-to-day operations… more
- The Cigna Group (Columbus, OH)
- …setting preferred. . Knowledge of CPT/ICD-10 codes preferred. . Proven experience in health insurance claims processing or similar field preferred If ... ** Claims Representative - Remote** **SUMMARY** The claims...based on established criteria. . Review and verify other insurance coverage information in submitted claim. . Evaluate authorizations… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… 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
- BCA Financial Services, Inc. (Charlotte, NC)
- …percentage of total charges, etc.) + Awareness of the various codes used when filing health insurance claims . This position will not affect coding changes to ... variety of mediums such as outbound phone calls and insurance websites + Reviews assigned claims working...calls and insurance websites + Reviews assigned claims working within the established productivity standards for timely… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
- Elevance Health (Houston, TX)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- Intermountain Health (West Valley City, UT)
- …Intermountain Healthcare. + Understands ERISA, self-funded and federal and state laws around health insurance claims . + Develops and maintains collaborative ... + Computer Literacy + Medical terminology + Problem Solving + Health Insurance + Collaboration + Detail-oriented **Physical Requirements:** **Qualifications**… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided at all clinics. ... codes + Enter the correct codes into patients- electronic health records + Review claims to make...with other staff members to ensure accuracy + Enter insurance claims into specialized billing programs +… 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
- UTMB Health (Galveston, TX)
- …Statistics or Biostatistics. + Experience in analyzing health outcomes from health insurance claims data. **Job Summary:** Provides statistical support ... - Office of Biostatistics **Galveston, Texas, United States** Faculty UTMB Health Requisition # 2500488 **Minimum Qualifications:** Masters degree in Biostatistics,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …will consider collective experience, training, and education. + 5 years experience in health insurance claims and/or customer service or related operational ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We... care benefits (products, covered services, definitions, etc.), and claims adjudication. + Understanding of corporate procedures, policies and… more
- AdventHealth (Maitland, FL)
- …measurement, and claims analytics + Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical ... Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …delivery science. * Prior experience analyzing administrative health care data (EHRs, health insurance claims , or cancer registry data). * Superior ... research projects generally use sources of secondary real-world data ( insurance claims , EHRs, cancer registries, death certificates)...electronic health record ( EHR )-derived data, insurance claims , and geographic data to rapidly… more
- Baylor Scott & White Health (Dallas, TX)
- …health system technologies (EMRs, virtual health , remote monitoring) and health insurance technologies ( claims systems, network management solutions). ... large healthcare system preferred, including provider services, care support functions, and health insurance functions. 8. Ability to lead cross-functional teams… more
- AbbVie (North Chicago, IL)
- …traditional randomized clinical trials that make use of real-world databases, eg electronic health records, insurance claims databases, and/or registries. + ... is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** The ideal candidate will have had some experience working with health administrative/ insurance claims data and other large datasets. ... **Job Description** The Department of Population Health Science and Policy at the Icahn School...applications for a Postdoctoral Research Scientist with interest in health economics, health services research, and … more
- US Tech Solutions (Carlisle, PA)
- …to division, job, location, pay, union, hew hire, termination, status, leaves of absence/FMLA, health & wellness insurance claims , disability claims , and ... calculation of pay rates, promotions, demotions, paid time off, Sunday pay, insurance claims , disability claims , etc. + Research, compile and provide data… more
- Robert Half Legal (Washington, DC)
- …* Request and manage medical records, bills, and liens from providers. * File health insurance claims with medical providers and ensure accuracy. * ... preparing essential documentation, and coordinating with medical providers and insurance companies. This position requires strong organizational skills and the… more
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