- BroadPath Healthcare Solutions (Tucson, AZ)
- …Work effectively in a virtual, work-from-home environment while accurately processing claims **Qualifications** + 2+ years of recent health insurance ... collaborating well with a team **Preferred** + Prior experience processing Medicaid claims highly preferred but not required + Prior work-from-home experience… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …(Required) + Previous payer or health plan experience. (Required) + Claims processing systems and product configuration experience including familiarity with ... the business together to inform configuration that supports accurate claims processing . Act as a key resource...and project work related to change. + Knowledge of health insurance industry trends, new technology, utilization management, and… more
- Stanford Health Care (Palo Alto, CA)
- … & Litigation Strategy, the Claims Manager oversees the workers' compensation claims program for Stanford Health Care, Stanford Health Care Tri-Valley, ... and Stanford Children's Health . The Claims Manager acts as the primary liaison with the...to support loss prevention. + Ensure timely and accurate processing of all claim invoices. **Education Qualifications** + Bachelor's… 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
- 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...of IDX (scheduling system). Familiarity with World Trade Center Health Program (WTCHP). Familiarity with HIPAA. Proficiency with Word… more
- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, tracking, ... and analyzing employee injury claims . This position will ensure timely reporting, investigation, and...forms, light-duty offer letters, check requests, invoices, and mail processing . + Support safety and risk management initiatives and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …Utilization Management experience + General understanding of health plan operations, claims and eligibility systems, claims processing , and health ... of State Health Services + Background in benefits, claims processing , or membership **Diversity Statement** _At BroadPath, diversity is our strength.… more
- Banc of California (Santa Ana, CA)
- …throughout California and Denver, Colorado, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is committed ... on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card,...values. + Performs the position safely, without endangering the health or safety to themselves or others and will… more
- Lyric (Newtown Square, PA)
- … edit/denial management + 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional Coders (CPC) ... with at least 3 years of experience in a health insurance payer or automated claims editing...payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes),… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …national and regional health plan medical directors, policy analysts, claims processing , key practice managers, state/national societies + Serve as ... in advance of VAC meetings. + Contribute to strategic discussions with Olympus Health Economics & Market Access, Reimbursement in the development and review of… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …providers via fax or phone. Collaborates with medical management teams and other health plan departments, including Claims and Network Development, to ensure ... from Home UM Assistants** . This role is responsible for receiving, processing , and accurately entering demographic information for all referral and authorization… more
- Stony Brook University (Stony Brook, NY)
- Office Assistant 1 - Health Information Management Full Time Day Shift (7:30 AM - 4:00 PM) **Position Summary** Office Assistants 1 performs office support and ... and meetings using various office tools. + Perform routine processing activities, including checking forms for completeness and accuracy. **_Calculations_**… more
- Optum (Kansas City, MO)
- …medications and their use Perform clerical duties such as filing patient records and processing insurance claims Ensure compliance with all relevant laws of the ... career, consider a company that's dramatically shaping our entire health care system. Optum, part of the UnitedHealth Group...the UnitedHealth Group family of companies, is a leading health services and innovation company dedicated to helping make… more
- ICL (Gallipolis Ferry, WV)
- Environmental, Health , Safety & Security (EHSS) Specialist Date: Nov 12, 2025 Posting End Date: Location: Gallipolis Ferry, WV, US, 25515 Company: ICL-IP America ... Inc. As the **Environmental, Health , Safety & Security (EHSS) Specialist** , you will...of corrective and preventive actions. + Administer workers' compensation claims , return-to-work, and medical surveillance programs. + Serve as… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... ensuring strong, collaborative partnerships with hospitals, physician groups, LTSS, HCBS, behavioral health , and ancillary providers. - Serve as the primary point of… more
- National Health Care Associates (West Hartford, CT)
- **-** **A Great Place to Work** Hebrew is a proud affiliate of National Health Care Associates and one of the finest centers in the state of CT. As a Certified Great ... + **_Administration:_** + Manage WC: Cinch form submission, partner with claims examiner, OSHA log recordkeeping, attend safety meetings, and input during… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …career move as one of our compliance champions\! With your strong background in claims processing , you'll play a pivotal role in monitoring Medicare Advantage ... Part C and D claims to ensure accuracy, integrity, and compliance across the...the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …submitting provider offices), answering the phone (including all calls regarding authorization processing , claims related phone calls, and any other calls ... Experience Knowledge of medical terminology, ICD-10 Codes, CPT Codes, HCPC Codes, health plan benefits, or claims required Computer skills required, specifically… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Required: Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening ... skills Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Preferred Qualifications: Bachelor's Degree… more
- City of Littleton (Littleton, CO)
- …A ($154,866) + **Master Police Officer (MPO) Incentive program** + ** Health /Vision/Dental Insurance** + **Paid Life Insurance (1.5x salary)** + **Bi-weekly Monetary ... **Full Line of Duty Injury Leave** + **Sworn Retiree Health Plan after minimum age 57 and 15 years...for BA/BS degree and above** + **Defense of Civil Claims Article** + **Line of Duty Death Benefit** +… more
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