- Lyric (Newtown Square, PA)
- …automated claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor , chart auditor/reviewer, or claims ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Lyric (Newtown Square, PA)
- …or more relevant healthcare experience as a medical coder, medical claims processor medical auditor, clinical editing analyst , or payment or medical policy ... and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim… more
- TEKsystems (Milwaukee, WI)
- MUST LIVE IN WISCONSIN TO BE CONSIDERED Job Description We are seeking a Claims Analyst II to examine and process paper and electronic claims . In this role, ... you will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key responsibilities of this position include… more
- Allied Solutions (Plano, TX)
- …applicability of insurance coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9… more
- CVS Health (Augusta, ME)
- …Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... regarding confidentiality. -Assist in the research and resolution of claims payment issue **Required Qualifications** Effective communication, telephonic and… more
- The County of Los Angeles (Los Angeles, CA)
- …features of the tissue. Inspects microtome, ultramicrotome, cryostat, and tissue processor for general maintenance and use. + Prepares surgical specimens for ... application, you may email the documents to the exam analyst , Jaquelyne Saldana at ###@dhs.lacounty.gov within 15 calendar days...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
