- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …School Diploma or equivalent required **Work Experience** + 6 months of experience in medical claims or health insurance-related customer service or the ... plans) in order to process both coordinated and non-coordinated claims correctly. Requesting of medical records may...assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Associates Degree, or high school diploma/GED + 7 years experience in medical billing or health claims , with experience in IDX billing ... Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …Cycle Manager. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX ... Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …high school diploma/GED plus 3 years of relevant experience + 3 years experience in medical billing or health claims , with experience in IDX billing systems ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + HS/GED; Associates Degree is preferred + 3+ years of experience in medical billing or health claims , with experience in billing systems ... these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (Richmond, NY)
- …high school diploma/GED plus 2 years of relevant experience + 2 years experience in medical billing or health claims , with experience in IDX billing systems ... accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Medical Mutual of Ohio (OH)
- …in a healthcare environment. **Technical Skills & Knowledge** + **Knowledge of medical terminology, health insurance claims processing, and utilization ... Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million… more
- Mount Sinai Health System (New York, NY)
- …of transactions entered. **Qualifications** + High School diploma/GED. + 2 years experience in medical billing or health claims . Experience with IDX billing ... duties **About Us** **Strength Through Diversity** The Mount Sinai Health System believes that diversity, equity, and inclusion are...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …of transactions entered. **Qualifications** + High School diploma/GED. + 1 year experience in medical billing or health claims . + Experience with IDX billing ... duties **About Us** **Strength Through Diversity** The Mount Sinai Health System believes that diversity, equity, and inclusion are...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Humana (Dublin, OH)
- …Organizational skills necessary to effectively manage multiple activities + Experience with medical claims / health insurance + Project Management experience ... part of our caring community and help us put health first** Humana Healthy Horizons in Ohio is seeking...2: + Member support, customer service, enrollment, and eligibility, claims review and research, and call center operations +… more
- Alight (IL)
- …problem-solving skills when questioned on your case management plans. + Consulting on medical , behavioral health , and accommodation claims , if within the ... Clinical Case Manager provides clinical oversight to behavioral health disability and leave of absence claims ....disability, client processes, and case management. + 5+ years medical advisory experience in occupational health , worker… more
- State of Montana (Helena, MT)
- …data. This includes using electronic health records (EHRs) to directly improve medical outcomes. * * Claims data: * Health Services Data Analysts will ... * HEALTH SERVICES DATA ANALYST* *RESEARCH ANALYTICS AND PLANNING...interpersonal skills, and time management. * Experience with EHR, medical terminology, and medical billing are extremely… more
- Elevance Health (West Des Moines, IA)
- …III ( Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. **How ... ** Claims Representative III ( Health & Dental)**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- CVS Health (Albany, NY)
- …resource materials to manage job responsibilities. **Required Qualifications** + 2+ years medical claims processing experience. + Experience in a production ... Bring your heart to CVS Health . Every one of us at CVS ...claims processing experience. + Reinsurance / Stop loss medical claims experience. + Familiarity with overpayments.… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I ( Health & Dental)** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate will live ... within 50 miles of our Elevance Health PulsePoint location at **6087 Technology Pkwy, Columbus** **,...first 12 weeks of training. Start date: 11/4/2024.** The ** Claims Representative I** will be responsible for successfully completing… more
- Elevance Health (Columbus, OH)
- …(word processing, spreadsheets, etc.) strongly preferred. + Previous experience working in health claims is strongly preferred. ** For candidates working in ... ** Claims Representative I ( Health and Dental)**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... date . Four (4) years of progressive experience in medical billing and claims processing in a...Clinical degree/background preferred. Prior experience reviewing and coding from medical records. Behavioral Health , Mental Health… more
- Dignity Health (Rancho Cordova, CA)
- **Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. ... Dignity Health Medical Foundation is an affiliate of...This position has contact with Internal and External providers Health Plans Contract Department Hospital Capitation Claims … more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...(must have):** + Knowledge and experience of claim operations, health care reimbursement, public health care programs… more
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... to external and internal customers. + Handle Accident & Health claims as part of the A&H...and total disability, critical illness and/or accident and sickness, medical evacuation, trip cancellation, out of country medical… more