- IQVIA (Salt Lake City, UT)
- Patient Support Medical Claims Processing ?Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial ... for a 100% remote (work from home-WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United ... these roles you will be responsible for Review and process insurance claims . Validate Member, Provider and other Claim's information. Determine accurate payment… more
- Molina Healthcare (Cleveland, OH)
- …or legal requests. Assists with reducing rework by identifying and remediating claims processing issues. Locates and interprets claims -related regulatory ... claims using standard principles and applicable state-specific regulations to identify claims processing errors. Applies claims processing and… more
- Cedars-Sinai (Los Angeles, CA)
- …in 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 a leader… more
- Molina Healthcare (Omaha, NE)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …be crucial in maintaining our high standards of accuracy and efficiency in claims processing . Compensation Highlights: Base Pay: $18.00 per hour Pay Frequency ... performance under demanding production and quality standards Technical proficiency with claims processing software In-depth understanding of complex claims… more
- Molina Healthcare (Yonkers, NY)
- …of incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors. Essential Job Duties Audits the adjudication of ... to leadership for improvements based on audit results. Reviews timeliness of claims processing to ensure compliance with contractual and state/federal… more
- Molina Healthcare (Rochester, NY)
- …with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. ... JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching,… more
- Stony Brook University (Commack, NY)
- …experience working in a medical and/or office setting. Previous medical claims processing experience. Preferred Qualifications: Medical coding certification. ... Claims Processor Required Qualifications (as evidenced by an...minimal supervision. S/he will be responsible for assisting the Claims Manager with the following duties: Duties: Verifying accuracy,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …will be crucial in maintaining our high standards of accuracy and efficiency in claims processing . **Compensation Highlights:** + Base Pay: $18.00 per hour + Pay ... performance under demanding production and quality standards + Technical proficiency with claims processing software + In-depth understanding of complex … more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …management **Qualifications** + High school diploma or equivalent + 1-3 years of medical claims processing experience + Medicare Claims Experienc + Knowledge ... to maintain focus in a high-volume, production-oriented environment + Proficiency with claims processing software and technology + Understanding of medical… more
- NTT DATA North America (Plano, TX)
- …office setting Required Skills/Experience 1+ year(s) hands-on experience in Healthcare Claims Processing Previously performing - in P&Q work environment; ... overall sourcing strategy. NTT DATA currently seeks Remote Medical Claims Processor to join our team for a 6+...will be paid through NTT DATA only.) Role Responsibilities - Processing of Professional claim forms files by provider -Reviewing… more
- CVS Health (Franklin, TN)
- …heart, each and every day. Position Summary This role will have a focus on training Claims processing and Claims Call Center staff for all products including ... experience Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing One to three (1-3)… more
- ManpowerGroup (Ann Arbor, MI)
- …Job? Perform front-end O&P billing functions for 40 hours a week Manage claims processing and insurance billing procedures Handle prior authorizations and verify ... with organizational and regulatory requirements What's Needed? Experience with claims or insurance processing At least 2 years in an administrative role focused… more
- Prime Therapeutics (Providence, RI)
- …Intermediate skill and understanding of the point of sale and on-line pharmacy claims processing environment ? Preferred Qualifications 3 years of previous audit ... future of pharmacy with us. Job Posting Title Pharmacy Claims Auditor - Remote Job Description The Pharmacy ...Claims Auditor - Remote Job Description The Pharmacy Claims Auditor is responsible for identifying and evaluating potential… more
- TEKsystems (Moorestown, NJ)
- …customized services in the Accident & Health space. They specialize in claims processing , enrollment, compliance, and data-driven solutions that help clients ... seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst. This role is ideal for someone who thrives on digging into… more
- Stony Brook University (Commack, NY)
- …experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. ... Claims Processor **Required Qualifications (as evidenced by an...minimal supervision. S/he will be responsible for assisting the Claims Manager with the following duties: **Duties:** + Verifying… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …appropriate + Work effectively in a virtual, work-from-home environment while accurately processing claims **Qualifications** + 2+ years of recent health ... insurance claims processing experience + Ability to maintain balanced performance across production and quality + Ability to uphold confidentiality and present a… more
- Motion Recruitment Partners (Denver, CO)
- …CO area. Contract Duration: 2-Months Required Skills & Experience 3 years Medical Claims processing /adjudication experience. High School grad What You Will Be ... Medical Claims Processor / Contract / Remote Denver, CO...care and safety, is looking for a contract Medical Claims Processor. This is a fully remote role. We… more
- CVS Health (Hartford, CT)
- …leading modernization efforts. Strong understanding of regulatory compliance in claims processing . Preferred Experience Excellent communication and stakeholder ... modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication, and operational reporting. This role ensures the… more
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