- Merck & Co. (Rahway, NJ)
- …have intellectual curiosity, entrepreneurial spirit, consultative mindset, strong understanding of healthcare & pharma marketing.- The person should be able to ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... population-based decision makers on health economic and product value data.Engage healthcare and access stakeholders in clinical, scientific, and health economic… more
- Eisai, Inc (Atlanta, GA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Eisai, Inc (Pittsburgh, PA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code… more
- NTT DATA North America (St. Louis, MO)
- …methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a computer with ... an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Columbus, OH)
- …fee schedule **Job Requirements and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with Windows ... NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (MO)
- …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (MO)
- …fee schedule **Required Skills/Experience** * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years using a computer ... here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** *...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working… more
- Robert Half Accountemps (St. Louis, MO)
- …Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team. Opportunity Overview: We ... are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims… more
- Dignity Health (Bakersfield, CA)
- …lead role, with strong project team management skills. - Advanced knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices. ... **Responsibilities** The Claims Research Specialist will oversee and manage research...issues **Qualifications** **Minimum Qualifications:** - Bachelors degree in Business, Healthcare Administration, or a related field or experience in… more
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims … more
- TEKsystems (Los Angeles, CA)
- …CA 91325 What You'll Do Are you a detail-driven professional with a passion for healthcare claims and compliance? Join our team as a Claims Compliance ... in ensuring accuracy, efficiency, and regulatory alignment across our claims operations. In this role, you'll: + Lead audits...Us? + Be part of a mission-driven team improving healthcare operations + Work in a dynamic environment with… more
- State of Montana (Helena, MT)
- …economics, or a closely related field. o One year of experience in healthcare claims processing. o Other combinations of related education and experience ... position is with the Health Resources Division. This position is a Medicaid Claims Specialist and provides technical support primarily in the areas of disputed or… more
- NTT DATA North America (Plano, TX)
- …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas...NTT DATA is seeking to hire a **Remote Temp Claims Processing Associate** to work for our end client… more
- NTT DATA North America (Dallas, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (Plano, TX)
- …applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing** + 2+ year(s) using a computer with ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …for you! The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and first-pass resolution rates. + ... at least 6 years relevant IT experience overall. + Experience in the Healthcare industry domain, including and especially Claims systems experience. + Experience… more
- Kelly Services (Glastonbury, CT)
- …renewal or expiration dates. + Interpret Explanation of Benefits (EOBs) and use healthcare terminology to process claims accurately. + Process and adjust medical ... Billing Certification or equivalent relevant experience + Strong understanding of medical claims processing and healthcare industry practices + Prior experience… more
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