• Claims Examiner II

    Elevance Health (Rancho Cordova, CA)
    …I meeting expectations on quality and quantity or three (3) years medical claims processing / health insurance customer service experience or equivalent ... Capabilities & Experiences: + Thorough knowledge of medical terminology and claims processing procedures/systems. + Effective communication and personal computer… more
    Elevance Health (10/25/24)
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  • Claims Examiner I

    Elevance Health (Rancho Cordova, CA)
    …experience (internal applicants shall have preference over external applicants) or medical claims processing /or other health insurance or equivalent ... develop knowledge on multiple accounts to become proficient in processing and may be assigned to claims ,...Cordova, CA office). In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (10/25/24)
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  • Manager, Claims

    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
    LA Care Health Plan (09/20/24)
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  • Pharmacy Information Services Specialist II

    Medical Mutual of Ohio (OH)
    …or PBM, or equivalent experience in healthcare or financial services. . Strong health insurance claims processing and membership systems, database ... Access, and Power BI) skills. . Knowledge of interfacing health plan data, including membership and claims ,...(PBM) company. . Knowledge of PBM benefits set up, claims processing , and related regulatory requirements. .… more
    Medical Mutual of Ohio (10/19/24)
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  • Claims Representative III ( Health

    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
    Elevance Health (09/28/24)
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  • Claims Department Team Lead

    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** Lead the claims processing department to effectively and efficiently meet… more
    Conduent (10/18/24)
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  • Senior Medical Economics Analyst - Hybrid

    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
    AdventHealth (09/12/24)
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  • Claims Department Manager

    Conduent (Helena, 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
    Conduent (10/22/24)
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  • New Opportunity Consultant - Post Pay

    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
    Lyric (08/29/24)
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  • COB Coordinator

    Independent Health (Buffalo, NY)
    … payment. Technical Proficiency and Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to ... Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental… more
    Independent Health (10/30/24)
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  • Claims Processing Specialist

    MyFlorida (Tallahassee, FL)
    CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan:...listed below: + Approximately 97.5% of the premium for health insurance + Individual (~$8/month) or Family (~$30/month) +… more
    MyFlorida (10/29/24)
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  • Revenue Cycle Denials And Appeals Specialist

    TEKsystems (Austin, TX)
    …authorization, laboratory, clinical, explanation of benefits, EOBs, health insurance, provider claims , medical claims processing , health insurance ... poster, epic, reimbursement, outlook Top Skills Details: Medical billing,Accounts receivable,Claim, Health care,Collection,Insurance,Medical claim,revenue cycle,medicare,insurance verification,accounts payable,denied claims ,appeals,revenue… more
    TEKsystems (10/31/24)
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  • Claims Processing Representative

    Access Dubuque (Dubuque, IA)
    Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **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
    Access Dubuque (10/31/24)
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  • Supervisor Claims - Claims

    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 (09/25/24)
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  • Assistant of Claims Processing

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Billing/ Claims Processing + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent + **Location:** ... Onsite in Jacksonville, FL **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more
    Ascension Health (10/31/24)
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  • Revenue Cycle Denials And Appeals Specialist

    TEKsystems (Charlotte, NC)
    …authorization, laboratory, clinical, explanation of benefits, EOBs, health insurance, provider claims , medical claims processing , health insurance ... for optimal reimbursement. * Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met. * Leads weekly meetings to review key… more
    TEKsystems (10/30/24)
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  • Claims Examiner - $21/hour - Hybrid

    Fallon Health (Worcester, MA)
    …complex and high dollar claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest penalties and ensure compliance with ... and 2 days working at home.** **About us:** Fallon Health is a company that cares. We prioritize our...Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing more
    Fallon Health (10/22/24)
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