- Molina Healthcare (Vancouver, WA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Vancouver, WA)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (Vancouver, WA)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Vancouver, WA)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- CareOregon (Portland, OR)
- …of data systems and sources and how it impacts the data available + Knowledge of medical claims , billing practices and health insurance requirements ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuary, Senior Requisition # 24950 Exemption Status Exempt Management Level...Financial Analytical Capacity and Capability + Work with Information Systems to ensure access to a data … more
- CareOregon (Portland, OR)
- …not limited to the Microsoft environment, enterprise applications, custom built applications, data backup systems and cloud services. | Provide advanced ... Windows o ITIL concepts and practices o Familiar with Project Management processes o Systems integration and data flow Preferred | Bachelor's degree in Computer… more
- Air National Guard Units (Portland, OR)
- …documentation is proper and valid. Performs post-audit voucher reviews. (25%) 2. Aggregates data from multiple financial and accounting systems and sources in ... and sensitive, out-of-balance conditions associated with processing actions within Financial Management systems . Analyzes and evaluates data to conduct a variety… more
- Pacific Seafood (Clackamas, OR)
- …Canada on both a year-round and seasonal basis. This position is the senior HR professional partnered with the Administrative Executive for HR activities for Central ... Central Support team members, to include coordination of incentive programs, recognition , and retention programs. + Manage companywide programs such as internships… more
- PeaceHealth (Vancouver, WA)
- …current state and work with the Director Billing and Follow-up and other Senior Revenue Cycle leaders for support or resolution. Ensures policies and procedures are ... of work and ensure financial goals are met and claims are received and resolved timely. + Manages and...to report payer lags and provide Payer Contracting with data to support negotiations with payers. + Identifies opportunities… more