- TEKsystems (Hartford, CT)
- Job Posting: Healthcare Data Entry Specialist - Grievance & Appeals ( Remote - East Coast Preferred) Job Title: Healthcare Data Entry Specialist - Grievance & ... Appeals Job Category: Data Entry Clerk Location: Remote (East Coast candidates preferred) Schedule: Monday - Friday,...appeals and grievances. If you have a background in healthcare data entry, claims processing, and customer… more
- Conduent (MS)
- …part of a culture where individuality is noticed and valued every day. ** Remote Call Center Representative** We are seeking individuals who are passionate about ... others, possess natural empathy, and provide thorough solutions for healthcare -related inquiries. If you find fulfillment in making a...available on the 1st day of employment. Successfully learn 15- 20 systems and average 30-40 calls per day. **… more
- Molina Healthcare (UT)
- …monitor and ensure service issues are resolved, including escalated claims payments/disputes, provider demographics, provider contracting accuracy and credentialing. ... live in primary states and be able to travel up to 20 % within market to visit high-profile provider groups/networks. **Preferred Education** MBA/Master's preferred… more
- TEKsystems (Orlando, FL)
- …Must be on EST time zone to be considered, Must have any healthcare administrative, medical billing, claims , grievances, appeals experience, or something ... Determine eligibility, benefits, and prior activity related to the claims , payment or service in question. Provide written acknowledgment...and Benefits The pay range for this position is $ 20 .00 - $ 20 .00/hr. Eligibility requirements apply to… more
- ProMedica Health System (Toledo, OH)
- …work with management to resolve. 17. Maintains current payor knowledge for effective claims management and follow up of unresolved claims . 18. Routinely reviews ... workloads and completion to ensure goals are being met. 20 . Acts as a resource for staff. 21. Assist...new staff. 22. Perform other duties as assigned. Location: Remote Education: Must have a high school diploma or… more
- Merck (Pierre, SD)
- …Scientific Congress Support, and Scientific Insights. **Location:** This MSL-type role is a remote position that serves the territory of TX & OK. This person _must_ ... in the company's areas of interest _*Scientific exchange does not include promotional claims about any drug, vaccine, or biologic product. RMSDs have no sales… more
- Conduent (Guaynabo, PR)
- …part of a culture where individuality is noticed and valued every day. ** Remote Bilingual Healthcare Customer Service Representative** **Must be fluent in ... English & Spanish** As a member of the Healthcare Call Center team, you will help people every...the Medicare plan, Disenrolling them from their plan, processing claims regarding their plan etc. **There are plenty of… more
- Option Care Health (Austin, TX)
- …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** Responsible for the timely, accurate submission of ... on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or… more
- Ochsner Health (New Orleans, LA)
- …company management by providing legal advice and counsel on legal, risk, healthcare and regulatory matters. **Job Description Summary:** This job supports the System ... company management by providing legal advice and counsel on legal, risk, healthcare and regulatory matters, with a special focus on complex transactional/regulatory… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …The Chief Counsel for Health Affairs (CCHA) will oversee all legal matters for Emory Healthcare . They also will serve as the primary legal advisor to the CEO, senior ... and collaborate with clients and external parties to accomplish Emory Healthcare 's objectives. The successful candidate will be an accomplished, mission-driven, and… more
- Colorado State University (Fort Collins, CO)
- …our investment in you. Employees are benefits eligible when working a minimum of 20 hours per week; benefits outlined below reflect full-time status of 40 hours per ... will ensure Accounts Receivables (AR) are reviewed to ensure claims are paid in a timely manner and no...this time, the Insurance Denials Specialist works a hybrid onsite/ remote schedule from 8:00 AM - 5:00 PM, Monday… more
- OhioHealth (Columbus, OH)
- …the implementation of organizational strategy involving the analysis of large complex healthcare data sets to discover hidden patterns, trends, and associations in ... decision support data, clinical quality data, various clinical registries, and claims databases. This position will be involved in collecting functional… more
- Merck (North Wales, PA)
- …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
- University of Utah (Salt Lake City, UT)
- …07/09/2025 **Job Summary** **University Medical Billing ( UMB )** is a fully remote department that is viewed as the premier billing office for the University ... and related medical records are submitted in the authorization request. 7. Resolve claims denials related to the prior authorization, as needed. 8. Review and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …new product lines, and working closely with Operations, Customer Care, Claims , and Finance/Underwriting departments to support group implementations and address ... + Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of… more
- Mass Markets (FL)
- …RESPONSIBILITIES Key responsibilities: + Provide information to customers about various healthcare options and insurance policies. + Help customers choose the ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
- Ochsner Health (New Orleans, LA)
- …or financial) or provider/clinical space (Pharma, health system) + Experience with healthcare claims data and/or clinical data from electronic medical ... on the team **Education** Required - Bachelor's degree in Healthcare , Public Health, Business or related field Preferred -...as the subject matter expert in analytics, population health, claims data, and overall analytics experience + Act as… more
- TEKsystems (Indianapolis, IN)
- TekSystems is hiring a Reimbursement Specialist for a large healthcare system in Indiana! This position is remote , but candidates must reside in the following ... to ensure maximum/timely reimbursement for services performed for hospital billing and claims . -The patient account role will be responsible for keeping current on… more
- Banner Health (OH)
- …**Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $27.72 - $46. 20 / hour, based on location, education, & experience. In accordance with ... support throughout your career here! This is a fully remote position and available if you live in the...unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in… more
- DoorDash (San Francisco, CA)
- …business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and Risk Management & Mitigation. We operate at the ... cross-functionally to drive compliance and resilience. This role is remote -friendly within the US, with a preference for candidates...if working 40 hours/week; about 3.4 hours/month if working 20 hours/week), and paid sick time accrued at 1… more