- BroadPath Healthcare Solutions (Tucson, AZ)
- …by management **Qualifications** + High school diploma or equivalent + 1-3 years of medical claims processing experience + Medicare Claims Experienc ... in a high-volume, production-oriented environment + Proficiency with claims processing software and technology + Understanding of medical terminology,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and make independent, informed recommendations. + Working knowledge of billing, coding, claims processing , medical terminology and anatomy. + Working ... the business together to inform configuration that supports accurate claims processing . Act as a key resource...policy changes, and coding changes. + Research and interpret medical claims utilization and program participation. Present… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …with claims processing software + In-depth understanding of complex claims procedures and medical terminology + Knowledge of HEDIS, DOC, HCFA, and ... crucial in maintaining our high standards of accuracy and efficiency in claims processing . **Compensation Highlights:** + Base Pay: $18.00 per hour + Pay… 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 ... all required data fields are present and that necessary medical records are included and reviewed when required +...insurance claims processing experience + Ability to maintain… 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
- Olympus Corporation of the Americas (Center Valley, PA)
- …a variety of national stakeholders within geography: national and regional health plan medical directors, policy analysts, claims processing , key practice ... ? Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill… 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 ... provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision… more
- Lyric (Newtown Square, PA)
- …payer or automated claims editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor/reviewer, or ... managing a team of high performing Clinical Managers and Medical Content Analysts. In this intricate role, the Senior...+ 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …High school diploma or equivalent + Experience in managed care, preferably within a medical management department with exposure to claims and member services + ... UM Assistants** . This role is responsible for receiving, processing , and accurately entering demographic information for all referral...coding + 2+ years in managed care, preferably in medical management, claims , or member services +… 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
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...clean claim submission. This position is responsible for pulling medical records to submit with claims and… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... provider engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… 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
- Dickinson Financial Corporation (Kansas City, MO)
- …this position plays a crucial role in ensuring the accurate and timely processing of Automated Clearing House (ACH) exceptions, and Regulation E Claims . ... client satisfaction. **Responsibilities** + Process and investigate Regulation E claims related to ACH transactions. + Track volume for...Full-time associates are eligible for our benefits package: + Medical + Dental + Vision + 401(k) plan +… more
- City of Littleton (Littleton, CO)
- …education and POST certification training. **Police Officer Recruit is eligible for medical , vision, dental and life insurance benefits while in POST certification ... for BA/BS degree and above** + **Defense of Civil Claims Article** + **Line of Duty Death Benefit** +...scene. Prepares accident reports. Issues summonses, as necessary. Requests medical assistance and provides first aid for injured persons,… more
- Organon & Co. (Plymouth Meeting, PA)
- …(3PL) providers. This role involves overseeing the timely and accurate processing of customer orders, ensuring effective invoicing, managing accounts receivable, and ... cash application, in coordination with 3PL providers. - Ensure timely and accurate processing of customer orders and invoices, working closely with 3PL partners to… 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
- StarKist Co. (Reston, VA)
- …available PURPOSE - To support the Accounts Receivable department in processing payments, deductions and collections. Communicates and builds a strong partnership ... back-up documentation from brokers, customers and/or carriers to validate claims . Resolves invalid or unauthorized deductions by following deductions procedures… more
- Morley (Saginaw, MI)
- …an Administrative Process Assistant! No customer interactions - this role is about processing documents for the department. We provide full, paid training so you can ... be very thorough, multitask, and pay strong attention to detail while processing important documents. **What You'll Do** + Process documentation accurately, timely… more
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