- USAA (San Antonio, TX)
- …Centers for Medicare & Medicare Services (CMS) + Extensive experience working health claims and/or health insurance products with an insurance ... seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will report… more
- MyFlorida (Fort Lauderdale, FL)
- …programs, policies, and benefit limitations. Knowledge of medical claims processing and/or health insurance claims billing. Knowledge of the methods of ... of the Explanation of Payment and Explanation of Benefit Statements for health insurance companies/government healthcare related programs. At least 2 years… more
- Elevance Health (Columbus, OH)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **Preferred ... to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + Claim...equivalent background. + Health insurance… more
- Elevance Health (Norfolk, VA)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...research findings. + Health insurance… more
- Colgate-Palmolive (New York, NY)
- … benefits programs ensuring effective and efficient service delivery.** + **Resolve escalated health and insurance program claims and advocate for employees ... department, the Benefits Specialist is responsible for the smooth operation of our health and insurance benefits programs. Providing unparalleled service to our… more
- Elevance Health (San Juan, PR)
- …activities related to past due health insurance premiums and/or past due health insurance claims . **How you will make an impact:** Primary duties may ... the purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt. +… more
- Essentia Health (Deer River, MN)
- …communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and ... **Job Description** **Job Description:** Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for… more
- CDPHP (Albany, NY)
- …2 years customer relations experience required, Associates Degree preferred. + A background in health insurance claims and appeal processing is preferred. + ... Representative will work closely with all departments such as Member Services, Claims Operations, Network Operations, Health Care Network Strategy, Provider… more
- Intermountain Health (Columbus, OH)
- …- and - Demonstrated ability to make business and strategic suggestions. - and - Health insurance claims payment system experience or other frontline ... **Job Description:** Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic… more
- Johns Hopkins University (Washington, DC)
- …systems. + Experience working with health care data (including, but not limited to, health insurance claims data). + Experience with or knowledge of AI ... The Center for Health Systems and Policy Modeling at Johns Hopkins...experienced individual to serve as our **_Data Scientist - Health Policy Modeling_** . This individual will play a… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided at all clinics. ... codes + Enter the correct codes into patients- electronic health records + Review claims to make...with other staff members to ensure accuracy + Enter insurance claims into specialized billing programs +… 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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …6 plus years. + Minimum of 4 years experience in Healthcare billing, or health insurance claims environment. Familiar with medical billing practices, ... Cycle/Reconciliation in the Northern region of the Hackensack Meridian Health (HMH), under the general direction of the Manager...on Payer Services. + Approve or reject patient & insurance refunds within the guidelines established. + Supervise all… 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...assigns clinical files for nurse review. Investigates and processes claims and/or issues and performs administrative functions in support… 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
- Abbott (St. Paul, MN)
- …life-saving medical technologies. We leverage a wide variety of healthcare data, including health insurance claims , internal Abbott device data, and ... of. + Free medical coverage for employees* via the Health Investment Plan (HIP) PPO + An excellent retirement...problem-solving skills. Experience working in data science/analytics, particularly with insurance claims data a plus. + Experience… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …directly address critical health research questions, utilizing extensive datasets such as health insurance claims data and electronic health records ... environment 5. Familiarity with healthcare research data such as public and private insurance claims , electronic health record data, and any other public or… more
- Weill Cornell Medical College (New York, NY)
- …independently on a number of projects. Ideal candidate will have experience analyzing health insurance claims data, preferably Medicare data specifically, ... of records) preferred. Coding expertise in SAS Experience analyzing health insurance claims data, preferably Medicare data specifically **Knowledge,… more
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