• HealthCare Claims Intelligence…

    CGI Technologies and Solutions, Inc. (Atlanta, GA)
    ** HealthCare Claims Intelligence Engineer** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Georgia, Atlanta ... (ML), data analysis, Business Intelligence and Data Visualizations to streamline the claims processing, Payment Integrity and healthcare analytics systems. This… more
    CGI Technologies and Solutions, Inc. (10/08/24)
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  • Medical Insurance Claims Representative

    HCA Healthcare (Denver, CO)
    …Do you want to join an organization that invests in you as a Medical Insurance Claims Representative? At HCA Healthcare , you come first. HCA Healthcare has ... difference. We are looking for a dedicated Medical Insurance Claims Representative like you to be a part of...United States. As a dedicated unit within HCA Healthcare , we prioritize providing safe, efficient, and premium surgical… more
    HCA Healthcare (11/19/24)
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  • Claims Examiner

    Veterans Affairs, Veterans Health Administration (Denver, CO)
    …the position is initial evaluation and processing of beneficiary submitted healthcare claims for payment. Responsibilities PRINCIPAL DUTIES AND RESPONSIBILITIES: ... to analyze and resolve issues involving claim submission utilizing automated healthcare claims processing systems, methods, procedures, and techniques. GS-07… more
    Veterans Affairs, Veterans Health Administration (11/26/24)
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  • Medical Claims Analyst

    Robert Half Accountemps (Sterling Heights, MI)
    …We are offering a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This role is in the healthcare ... benefits industry and will primarily be focused on disability claims analysis. The job function includes analysing and adjusting disability claims , reviewing… more
    Robert Half Accountemps (11/07/24)
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  • Medical Claims

    Robert Half Accountemps (Plantation, FL)
    …We are offering a short term contract employment opportunity for a Medical Claims Analyst in the insurance industry, based in Plantation, Florida. As a Medical ... Claims Analyst, you will be tasked with handling various... processing * Familiarity with Cerner Technologies for managing healthcare information * Knowledge in CL Programming for efficient… more
    Robert Half Accountemps (11/23/24)
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  • Sr. Professional Liability Medical Claims

    Providence (NM)
    …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, General and ... other Liability Claims under the PSJH Insurance Program:** + Communicate with...100% remote work for applicants who reside in the United States._** **_**Note: Providence is not currently considering applicants… more
    Providence (10/05/24)
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  • Claims Resolution Specialist

    Integra Partners (Troy, MI)
    JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as...Durable Medical Equipment. We are reimagining access to in-home healthcare to improve the quality of life for the… more
    Integra Partners (10/05/24)
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  • Claims Inquiry Supervisor

    Integra Partners (Troy, MI)
    …managing and leading a team to success. This individual should be knowledgeable in medical claims - possessing the skills needed to support the team and serve as an ... and external partners. Salary: $55,000/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Inquiry Supervisor's responsibilities include but are not limited… more
    Integra Partners (11/05/24)
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  • Medical Billing/ Claims Specialist

    Robert Half Accountemps (Tucson, AZ)
    Description Our client, in the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/ Claims specialist near downtown Tucson! You ... will be tasked with managing medical claims and ensuring accurate billing and collections. This position...openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including… more
    Robert Half Accountemps (10/30/24)
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  • Medical Billing/ Claims Specialist

    Robert Half Accountemps (Tucson, AZ)
    Description Our client, in the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/ Claims specialist near downtown Tucson! You ... will be tasked with managing medical claims and ensuring accurate billing and collections. This position...openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including… more
    Robert Half Accountemps (11/19/24)
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  • Medical Claims Representative

    Robert Half Accountemps (Fort Wayne, IN)
    …is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high level of ... interaction with doctor offices. Responsibilities: * Follow-up on insurance claims and patient claims payments. * Provide customer service in relation to medical… more
    Robert Half Accountemps (10/08/24)
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  • Medical Claims Representative

    Robert Half Accountemps (Novi, MI)
    Description We are in search of a Medical Claims Representative to join our team in NOVI, Michigan. This role is pivotal in the healthcare industry, providing a ... environment and contribute to ensuring a smooth and efficient process for medical claims . Responsibilities: * Initiate and manage claims from clients, ensuring… more
    Robert Half Accountemps (11/02/24)
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  • Senior Workers' Compensation Claims

    The City of Houston (Houston, TX)
    SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/4738524) Apply  SENIOR WORKERS' COMPENSATION ... CLAIMS COORDINATOR Salary $54,323.88 - $63,357.06 Annually Location 611...+ Paid Prenatal, Parental and Infant Wellness Leaves + Healthcare Flexible Spending Account For plan details, visit http://www.houstontx.gov/hr/benefits.html… more
    The City of Houston (11/22/24)
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  • Medical Claims Manager

    Robert Half Management Resources (Bellaire, TX)
    Description We are offering a long term contract employment opportunity for a Medical Claims Manager in Bellaire, Texas. This role operates within the healthcare ... and social assistance industry and involves managing the claims payment process, specifically focusing on Tapestry report and...* Proven experience in Appeals and Auditing in a healthcare setting * Knowledge of Benefit Functions and Billing… more
    Robert Half Management Resources (11/06/24)
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  • Patient Claims Specialist

    Modernizing Medicine (Boca Raton, FL)
    We are united in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc. 5000 ... door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company… more
    Modernizing Medicine (10/16/24)
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  • Medical Claims Specialist

    Robert Half Accountemps (Cedar Rapids, IA)
    Description We are offering a contract to hire employment opportunity for a Medical Claims Specialist in Cedar Rapids, Iowa. This role is in the healthcare ... in a dynamic and fast-paced environment. As a Medical Claims Specialist, you will be tasked with managing and...openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including… more
    Robert Half Accountemps (10/30/24)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Nov 19, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating,… more
    Teva Pharmaceuticals (10/26/24)
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  • Copay Lead - Support/ Claims Processing

    AssistRx (Orlando, FL)
    …uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. As ... customer business review meetings. Responsible for utilizing forecasts and analyzing claims data to determine Copay utilization, escrow account replenishment needs,… more
    AssistRx (11/13/24)
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  • AVP, Clinical Validation (Payment Integrity)…

    Molina Healthcare (NE)
    …positive operational and financial outcomes. **Work Location - Remote within the United States** **Job Duties** * Lead Molina's payment integrity Clinical Operations ... to set up operational workflows to efficiently review high volumes of claims and maintain compliance TAT requirements. * Partners with HP CMOs, Utilization… more
    Molina Healthcare (11/07/24)
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  • Senior Deputy County Counsel - Healthcare

    The County of Los Angeles (Los Angeles, CA)
    healthcare law. Experience may include laws and regulations relating to healthcare providers; False Claims Act; Anti -Kickback Statute; consent and ... State or political subdivision thereof; any agency of the United States, a State, or political subdivisions of a...Describe in detail your experience in the practice of healthcare law pertaining to False Claims Act.… more
    The County of Los Angeles (10/20/24)
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