- Elevance Health (Harrisburg, PA)
- **NGS SME Lead - Claims Processing ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... claims and potential coaching/training opportunities. + Assists with complex claims processing issues. Works claims as needed. + Provides assistance and… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1314338 Posted On 09/26/2024 **Job Overview** ** Claims Processing ... expectation to report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key role in reviewing and analyzing… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Schedule:** Full time **Job Shift:** **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- IQVIA (Crossville, TN)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Providence (Anaheim, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claims processing experience. + Access, Teleform and IDX experience. **Why ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- System One (Reston, VA)
- AUTOMATED SOFTWARE TESTING ENGINEER - HEALTHCARE CLAIMS PROCESSING ALTA IT Services is staffing a 100% remote, 3-month contract opening for an Automated Software ... to support a respected health insurance customer. Candidates must have healthcare claims processing and core framework development experience. REQUIRED SKILLS +… more
- Adecco US, Inc. (Orlando, FL)
- Adecco is currently assisting a great client in their search for an experienced ** Processing Claims Specialist** who is an expert in **MS Excel** . **Type:** ... not in office, but must work EST hours. Responsibilities for the ** Processing Claims Specialist** role include: + Identify policy type (ex: home, flood, wind)… more
- Ascension Health (Jacksonville, FL)
- …party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review ... claims for accuracy, including proper diagnosis and procedure codes. + Review claim rejections and communicates with payers to resolve billing issues. + Prepare and… more
- Cedars-Sinai (CA)
- …applicable tracking databases. **Qualifications** **Experience:** Three (3) years of medical claims processing for Medicare and Commercial products and provider ... claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is… more
- CVS Health (Franklin, TN)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing...issues related to claims . + Determines if claims processing activities comply with regulatory requirements,… more
- Highmark Health (Columbus, OH)
- …**Required** + 1 year of related experience **Preferred** + 1 year of claims processing experience + Inquiry resolution system, OCWA, Oscar, Outlook experience ... guidelines. + Knowledge of operating systems specific to claim processing . + Ability to review claims and...to claim processing . + Ability to review claims and analyze critical data. + Reading benefits, investigating… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction. + Researches, investigates, and ... include the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits, determining primacy for the… more
- LA Care Health Plan (Los Angeles, CA)
- … processing of claims . Skills Required: Solid understanding of standard claims processing systems and claims data analysis. Advanced working knowledge ... the application of Division of Financial Responsibility (DOFR) to claims processing . Licenses/Certifications Required Licenses/Certifications Preferred Required… more
- Crawford & Company (Atlanta, GA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Kelly Services (Columbia, SC)
- …have a strong attention to detail, excellent communication skills, and a background in claims processing , we encourage you to apply. Job Specifications: - Job ... procedures and diagnosis codes. - Verify the accuracy of claims data entry and correct any processing ...of claims data entry and correct any processing errors by reprocessing, adjusting, and/or recouping claims… more
- Crawford & Company (Bakersfield, CA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- NJM Insurance (Trenton, NJ)
- …including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years' experience as a ... knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Knowledge of WC regulations and jurisdiction(s) to be able… more
- Community Clinic Inc. (Silver Spring, MD)
- …coordination with health center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing and account ... and apply knowledge of Commercial Indemnity guidelines in the processing , adjudication, and payment of claims . +...in the processing , adjudication, and payment of claims . + Maintain current understanding and application of all… more
- Modivcare (AZ)
- …payment, and discrepancies. + Enters claim information and relevant details into the claims processing system. + Reviews company policies to determine coverage ... attention to detail and proficient data entry skills for accurate claims processing . + Working knowledge of Microsoft applications (Word, Excel and Outlook).… more
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