- Elevance Health (Harrisburg, PA)
- …Capabilities and Experiences:** + Prior experience working with Medicare Part A and Home Health & Hospice claims processing highly preferred + Experience ... **NGS SME Lead - Claims Processing ** **Location** : This position...live within 50 miles of one of our Elevance Health PulsePoint locations listed. **National Government Services** is a… more
- Elevance Health (West Des Moines, IA)
- …PulsePoint office locations. The ** Claims Representative II** is responsible for keying, processing health claims in accordance with claims policies ... or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC,...provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- LA Care Health Plan (Los Angeles, CA)
- …for the supervisory/management experience requirement. Demonstrated depth of knowledge and experience in processing Health Plan claims of a complex nature. ... (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by... claims . Skills Required: Solid understanding of standard claims processing systems and claims … more
- Elevance Health (West Des Moines, IA)
- …** Claims Representative III ( Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims ... ** Claims Representative III ( Health & Dental)** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Des Moines, IA or Mason, OH.** The… more
- Zelis (Morristown, NJ)
- … health care management, or related field. + Minimum of 10 years of experience in health care claims processing , with at least 5 years in a managerial or ... and leadership skills. + Proficient in Microsoft Office and claims processing software. + Expertise in fully...more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans,… more
- AdventHealth (Maitland, FL)
- … claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Conduent (MT)
- …with Department of Health and Human Services personnel concerning claims processing functions. Driving special projects for corporate, operational, or ... fostering efficiency and driving operational success. **Responsibilities** Managing a claims processing department to effectively and efficiently meet… more
- Lyric (King Of Prussia, PA)
- …+ 5+ years of combined experience in healthcare, such as prior work in health insurance, claims processing or adjudication, or fraud, waste and ... of machine learning, AI, and predictive analytics to empower health plan payers with pathways to increased accuracy and...+ Develop and execute data mining audits that identify claims not paid in accordance with Client's payment policy… more
- Fairview Health Services (Hibbing, MN)
- …or GED + Prior scheduling, clinical, or other healthcare provider business cycle or health insurance claims processing work experience. + Must be proficient ... Fairview Range** Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health ...M Health Fairview, a partnership of Fairview Health Services, the University of Minnesota, and M Physicians.… more
- AdventHealth (Maitland, FL)
- … claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being… more
- Medical Mutual of Ohio (OH)
- …healthcare environment. **Technical Skills & Knowledge** + **Knowledge of medical terminology, health insurance claims processing , and utilization review ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace...assigns clinical files for nurse review. Investigates and processes claims and/or issues and performs administrative functions in support… 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 ... with the expectation to report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key role in reviewing and… 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 ... experience. + 2 years experience in a medical/institutional claims customer services unit within a health ...time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA… more
- Providence (Anaheim, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claims processing experience. + Access, Teleform and IDX experience. **Why ... Claims Examiner in an IPA, Medical Group, or Health Plan and knowledge of HIPAA and AB1455. +...time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA… more
- Ascension Health (Jacksonville, FL)
- …and career growth opportunities._ **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- CDPHP (Albany, NY)
- …2 years customer relations experience required, Associates Degree preferred. + A background in health insurance claims and appeal processing is preferred. + ... work closely with all departments such as Member Services, Claims Operations, Network Operations, Health Care Network...to determine, analyze and solve problems related to benefits, claims appeals, claims pricing/ processing by… more
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …combination of the following areas: rehabilitation counseling or instruction; social services; health insurance claims processing ; employee benefits; allied ... work, or experience in interviewing, screening, or admitting patients to a health care facility. SUBSTITUTIONS: College training will substitute for the required… more
- Integra Partners (Troy, MI)
- …guidelines, and Medical Policy adopted by the plans. + Experience working in health insurance specifically with claims processing , billing, reimbursement, or ... The Payment Analyst will work closely with the Claims Analyst and act as a key liaison...payment posting team with identifying, researching, and ensuring timely processing of large payment projects, ensuring payments, denials, and… 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 ... Bring your heart to CVS Health . Every one of us at CVS ...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
Related Job Searches:
Claims,
Claims Processing,
Health,
Health Claims,
Health Claims Processing Adjudication,
Processing