- Merck & Co. (Rahway, NJ)
- …analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization ... deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive mindset and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …leadership capacity. **Technical Skills and Knowledge:** . Strong knowledge of health insurance claims processing policies and procedures, benefit ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...quality of life. Supervises daily operations and staff of claims processing and/or claims support… more
- Elevance Health (East Syracuse, NY)
- …five years._** **Preferred Skills, Capabilities and Experiences:** + Experience with healthcare insurance claims processing highly preferred. + Strong data ... Centers for Medicare and Medicaid Services to transform federal health programs. The **SCA Claims Processor I** is responsible for processing Medicare Part A and… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** Remote position - Seeking Claims processing with Medical Insurance Minimum of 5 years experience ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the… more
- Josselyn (Northbrook, IL)
- …up on outstanding claims + Handling claims correspondence + Reviewing and processing insurance claims in a timely and accurate manner + Investigating ... accurately. + Insurance Claims : Proficiency in handling Commercial insurance claims , including reviewing, processing , and understanding policy… more
- Houston Methodist (Houston, TX)
- …general knowledge of billing practices and maintains departmental standards relating to insurance claims processing , charge entry and billing functions. ... (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance… more
- University of Utah Health (Murray, UT)
- …equivalency. + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and familiarity ... customer service to members, providers, billing departments, and other insurance companies regarding claims . + Documents phone...of the job as outlined above. + Experience with claims processing in a health care delivery… more
- HUB International (Irving, TX)
- …necessary information is provided. + Coordinate with customers, lenders, dealerships, and insurance providers to facilitate claims processing . While ... VPP/Theft product offerings. This role ensures efficient policy administration, effective claims processing , and excellent customer service, while maintaining… more
- United Infrastructure Gro (Great Falls, SC)
- …Typical Duties include but are not limited to: + Assist in managing and processing insurance claims related to workplace incidents, property damage, and ... teams, and internal stakeholders to ensure timely and accurate claims processing . + Track and report on...submission of regulatory filings related to workplace safety and insurance claims . + Perform other related duties… more
- CACI International (Chantilly, VA)
- …. As a Claims Examiner, your duties will include investigating and processing insurance claims , negotiating settlements, and maintaining accurate ... Claims Examiner Job Category: Finance and Accounting Time...**The Opportunity:** We are seeking a detail-oriented and experienced Claims Examiner to manage and review workers' comp … more
- CenterWell (Jefferson City, MO)
- …corrective action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input ... + High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and… more
- Modernizing Medicine (Boca Raton, FL)
- …contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + ... related experience required + Basic understanding of medical billing claims submission process and working with insurance ...billing claims submission process and working with insurance carriers required (eg, Medicare, private HMOs, PPOs) +… more
- ManpowerGroup (Vienna, VA)
- …field (or equivalent work experience). + Minimum of 5-7 years of experience in life insurance claims auditing, processing , or a related role. + Proven ... payment. + Identify and investigate potential fraud, discrepancies, or irregularities in claims processing . + Provide detailed audit findings and recommendations… more
- Robert Half Accountemps (Danville, KY)
- …Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing , with the ability to effectively communicate ... Work closely with billing and coding staff to ensure accurate and compliant claims submission. + Verify insurance eligibility and coverage for patients,… more
- El Paso County (Colorado Springs, CO)
- …of medical ICD-10 codes and CPT medical billing codes. + Strong knowledge of insurance claims processing and claims resolution. Knowledgeable on ... as traditional coding references. + Inputs information necessary for insurance claims and ensures claim information is...by more than one insurer, prepares and submits secondary claims after processing by primary insurer. +… more
- TEKsystems (Rockville, MD)
- …a patient: Cobra-ACA-HIPPA Skills Customer service, insurance , Call center, insurance claim, claims processing , Customer support, Customer service ... patient? - What is the patients liability on a claims form which would be co insurance ,...insurance call center environment or 1+ years of processing medical claims * Bilingual speaking candidates… more
- Robert Half Accountemps (Villa Park, IL)
- …all communication in our database. * Use your knowledge of healthcare billing claims processing and insurance procedures to identify decision makers ... professionals, include medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll... Claims data is required * Experience in Claims Processing is mandatory * Knowledge of… more
- South Central Regional Medical Center (Laurel, MS)
- …or revenue cycle management. + Knowledge of medical billing codes (CPT, ICD-10), insurance claims processing , and healthcare reimbursement methodologies. + ... healthcare regulations and policies. Key Responsibilities: + Billing and Claims Processing : + Review billing codes, patient...into the electronic medical record to support submission of insurance claims to third-party payers. + Educate… more
- Humana (Columbus, OH)
- …technology to enhance operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing , policy management, and other key ... design, development, and deployment of RPA solutions to streamline and automate insurance -related processes, such as claims processing , policy… more
- TORKLAW (Irvine, CA)
- …Requirements + Experience in property damage or a related field + Familiarity with insurance claims processing and requirements + Excellent communication and ... Damage Specialist, you'll be responsible for managing and resolving property damage claims efficiently. This role involves working with insurance providers,… more
