- NTT DATA North America (Orlando, FL)
- NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. **In this Role the candidate will be ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+...be able to work 7am - 4 pm CST online/ remote (training is required on-camera). **Preferred Skills & Experiences:**… more
- Molina Healthcare (Orlando, FL)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including UM and CM ... on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM...data, claims , enrollment, ect. + Knowledge of healthcare financial terms (eg, PMPM, revenue) and different standard… more
- Molina Healthcare (Orlando, FL)
- …operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Orlando, FL)
- …applicants. + Completes data corrections in the credentialing database necessary for processing of recredentialing applications. + Reviews claims payment systems ... **Molina Healthcare ** is hiring for a **Corporate Credentialing Associate Specialist** . This role is remote and can be worked from a variety of locations within… more
- Molina Healthcare (Orlando, FL)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and… more
- Molina Healthcare (Orlando, FL)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and… more
- Molina Healthcare (Orlando, FL)
- …management or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Orlando, FL)
- …encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more