- Everglades Equipment Group (Plant City, FL)
- … Policy 401(K) Matching Pet Insurance Paid Time Off Paid Holidays / Floating Holidays Dental Insurance Health Insurance . Vision Insurance ... and other reports as needed May process warranty and/or product improvement claims including the computation of charges, submission and follow-up Other related… more
- NTT DATA North America (Chicago, IL)
- …steps that can inform automation strategies **Required Skills/Experience** + 5+ years of health insurance claims processing including experience working with ... in **Chicago, IL** **Role Responsibilities** + Process and adjudicate health , dental, and vision insurance claims with precision and efficiency + Perform… more
- DXC Technology (Nashville, TN)
- …long-term transformation. Responsible for claims services and adjudication of health and disability insurance claims , ensuring accuracy, compliance, ... and high-quality service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing, learning from experienced… more
- Highmark Health (Topeka, KS)
- …+ Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience ... processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss … more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
- Highmark Health (Harrisburg, PA)
- …Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
- MyFlorida (Fort Lauderdale, FL)
- …programs, policies, and benefit limitations. Knowledge of medical claims processing and/or health insurance claims billing. Knowledge of the methods of ... of the Explanation of Payment and Explanation of Benefit Statements for health insurance companies/government healthcare related programs. One (1) year… more
- Elevance Health (Norfolk, VA)
- …activities related to past due health insurance premiums and/or past due health insurance claims . **How You Will Make an Impact** Primary duties may ... the purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt. +… more
- Johns Hopkins University (Baltimore, MD)
- …JHU equivalency formula. **Preferred Qualifications** + Experience working with large administrative or health insurance claims datasets. + Basic SQL skills ... This two-year, full-time pre-doctoral position provides hands-on experience in quantitative health policy research. The role supports faculty in the Department of … more
- Robert Half Office Team (Carmel, IN)
- …field preferred. + Minimum 2 years' experience in medical billing, denials management, or health insurance claims . + Strong understanding of coding standards ... when necessary. + Work closely with billing teams, healthcare providers, and insurance carriers to facilitate effective claims management. + Stay current… more
- Molina Healthcare (Kearney, NE)
- …Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** * Claims recovery experience. * Health insurance experience ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and...claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …experience. + Minimum of 2 years of experience in a healthcare billing office or health insurance claims environment. + Familiar with common medical billing ... Financial Services department for a university medical center/hospital or a Health Insurance Payer. + Knowledge of Managed Care Contracts, Medicare, and… more
- Baylor Scott & White Health (Sacramento, CA)
- …or other reporting environment in a work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex ... benefits package includes the following + Immediate eligibility for health and welfare benefits + 401(k) savings plan with...qualification EXPERIENCE - 5 Years of Experience As a health care system committed to improving the health… more
- St. Luke's Health System (Boise, ID)
- …a strong partnership with the business. + Develop a deeper understanding of the health insurance business functions, claims data, other data and analytical ... functions. The ideal candidate for this position would understand the health insurance business, have Epic knowledge and skills, have great communication skills,… more
- LG Energy Solution (Holland, MI)
- … health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee ... Title: Occupational Health Nurse Reports to: Manager, Health ...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
- LG Energy Solution (Holland, MI)
- … health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee ... Title: Occupational Health Nurse, Specialist (Part Time or Full Time)...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** The ideal candidate will have had some experience working with health administrative/ insurance claims data and other large datasets. ... **Job Description** The Department of Population Health Science and Policy at the Icahn School...applications for a Postdoctoral Research Scientist with interest in health economics, health services research, and … more
- Point32Health (Canton, MA)
- …Tableau or similar data visualization tool development experience preferred + Experience with health insurance claims data preferred + Demonstrated ability ... **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving… more
- US Tech Solutions (Carlisle, PA)
- …to division, job, location, pay, union, hew hire, termination, status, leaves of absence/FMLA, health & wellness insurance claims , disability claims , and ... calculation of pay rates, promotions, demotions, paid time off, Sunday pay, insurance claims , disability claims , etc. + Research, compile and provide data… more
