- BroadPath Healthcare Solutions (Tucson, AZ)
- …management **Qualifications** + High school diploma or equivalent + 1-3 years of medical claims processing experience + Medicare Claims Experienc + Knowledge ... to maintain focus in a high-volume, production-oriented environment + Proficiency with claims processing software and technology + Understanding of medical… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …will be crucial in maintaining our high standards of accuracy and efficiency in claims processing . **Compensation Highlights:** + Base Pay: $18.00 per hour + Pay ... performance under demanding production and quality standards + Technical proficiency with claims processing software + In-depth understanding of complex … 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 ... insurance claims processing experience + Ability to maintain balanced performance across production and quality + Ability to uphold confidentiality and present a… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing . Act as a key resource and contact for clinical coding, ... in response to cross-functional requests to inform accuracy and consistency for claims processing , reimbursement, benefit, and product configuration issues. +… more
- Lyric (Newtown Square, PA)
- … edit/denial management + 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional Coders (CPC) ... insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes), and… 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
- Kaiva Tech (Washington, DC)
- Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer Location: Washington, DC Clearance: 5C Public Trust Position Type: Full-Time, Hybrid/Remote Position ... to support our federal government customer in reviewing and adjudicating claims submitted under an agency-managed program. This role involves evaluating claim… more
- Port Authority of New York and New Jersey (New York, NY)
- …and or other data management tools. + Familiarity with Certificates of Insurance and claims processing + Experience with data analysis and reporting tools + ... and change-management initiatives, Certificates of Insurance review, data analysis, claims support, and risk-transfer activities. This role provides meaningful… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address… more
- Merck & Co. (Rahway, NJ)
- …with electronic healthcare databases (electronic medical records and insurance claims ); efficiently manipulates large databases including complex data preprocessing, ... in SAS and\or R Real World Evidence programming including data processing , statistical procedures and graphing and tabulation techniques; systems and database… more
- Lyric (Newtown Square, PA)
- …Engineering as the client base grows Required Qualifications: + Experience in healthcare, claims processing , or Payment Integrity environments. + 5-8 years of ... experience in application support, software development, or a hybrid support/engineering role. + Hands-on development experience in front-end (Angular) **or** back-end (.NET Core/C# ) environments. + Solid understanding of Microsoft Sql Server, T-SQL, stored… 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
- Lyric (Newtown Square, PA)
- …HL7, FHIR) is a plus? + Background in healthcare payer operations or claims processing systems?is preferred + Relevant certifications in cloud platforms or ... healthcare technology standards?is a plus The US base salary range for this full-time position is: $122,425.00 - $183,638.00 The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's… more
- Champion Home Builders Inc. (Strattanville, PA)
- …communication. + Benefits administration. + Records management. + Handle unemployment claims . + Payroll Processing . + Maintain confidentiality. + Administer ... Safety and Worker's Compensation + Perform other related HR or administrative duties as required. **Qualifications:** + Bachelor's degree or higher in Human Resource Management, business, or related field; or equivalent. + Minimum of 3 years of HR or similar… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …geography: national and regional health plan medical directors, policy analysts, claims processing , key practice managers, state/national societies + Serve ... as strategic field lead to develop strategic implementation plans to influence targeted national/regional managed care customers to ensure favorable market access policy of Olympus supported products + Provide real-time resolution for reimbursement questions… more
- SMBC (White Plains, NY)
- …Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Risk mitigation discipline + Identification ... and escalation of settlement breaks as needed. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary systems. + Identify opportunities for… 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
- SMBC (White Plains, NY)
- …+ Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Investigations of failed settlements from ... detection to resolution. + Mitigation of operational risk and timely escalation. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary… 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
- 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 ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
