• Senior Product Manager - Claims

    Highmark Health (Pittsburgh, PA)
    …in milestone reviews with the Delivery team. **A d** **eep understanding of the health ** ** insurance ** ** claims process** **will be essential** **.** This ... **Job Description :** **JOB SUMMARY** The Senior Product Manager, Claims will define the product strategy, vision, and value...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (10/10/24)
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  • PAR - Claims Representative II

    Medical Mutual of Ohio (Toledo, OH)
    …Knowledge:** + Knowledge of data entry and standard office procedures + Knowledge of health insurance claims processing and provider coding + Alpha-numeric ... diploma or GED + 2 years of experience as a Claims Representative in health insurance operation or equivalent experience with professional, institutional… more
    Medical Mutual of Ohio (11/28/24)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… more
    CHS (10/24/24)
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  • Remote Claims CSR Specialist

    TEKsystems (Sacramento, CA)
    …perform well in a call center team environment. Required Skills & Abilities: + Health insurance /Benefits or medical claims experience is required. + ... and enter the information needed to enter and process claims accurately and in a timely manner. + Record...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
    TEKsystems (11/27/24)
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  • Claims /Customer Care Specialist -TPA

    Medical Mutual of Ohio (Brooklyn, OH)
    …. Basic Microsoft Office Skills . Basic knowledge of health insurance products and medical terminology. ** Claims /Customer Care Specialist II - TPA** ... **_The Claims /Customer Care Specialist - TPA position allows you...Mutual is the oldest and one of the largest health insurance companies based in Ohio. We… more
    Medical Mutual of Ohio (11/27/24)
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  • Supervisor, Billing/Patient Access - Physician…

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …a related field. + Minimum three years in a healthcare billing office or health insurance claims environment; familiar with common medical billing practices, ... in the life of a Supervisor of Billing/Patient Accounting with Hackensack Meridian Health includes: + Responsible for timely and accurate claim submission for the… more
    Hackensack Meridian Health (11/29/24)
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  • Business Process Owner Senior - Medicare…

    USAA (Tampa, FL)
    …Centers for Medicare & Medicare Services (CMS) + Extensive experience working health claims and/or health insurance products with an insurance ... seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will… more
    USAA (10/23/24)
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  • Dental Claims Examiner

    TEKsystems (Fresno, CA)
    …levels Skills: Claim, Customer service, medical billing, administration, Claims processing, dental claims , Insurance , Health insurance , Health ... Description: Maintain multiple groups 1. Maintain claims for assigned groups 2. Process CMS-1500 claims under $5k 3. Interpret individual group SPD's and apply… more
    TEKsystems (11/19/24)
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  • Investigator Senior

    Elevance Health (Louisville, KY)
    … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud... claims . Health insurance more
    Elevance Health (11/28/24)
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  • Senior Investigator

    Elevance Health (Indianapolis, IN)
    … 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
    Elevance Health (11/26/24)
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  • Collections Specialist

    Elevance Health (Altamonte Springs, FL)
    …days. The **Collections Specialist** is responsible for collection activities related to outstanding/past-due health insurance claims . **How You Will Make an ... contacts group for the purpose of collecting payments for outstanding/past due health insurance claims . + Research validity of outstanding balances and takes… more
    Elevance Health (11/27/24)
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  • Senior Credit & Collections Specialist - Paragon…

    Elevance Health (Plano, TX)
    …- Paragon Healthcare** is responsible for complex collection activities related to past due health insurance claims . **How You Will Make an Impact** Primary ... established guidelines, contacts payer for the purpose of collecting past due health insurance claims . + Researches validity of past due and/or disputed… more
    Elevance Health (11/27/24)
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  • Provider Contract Support Specialist- Sr.

    Medical Mutual of Ohio (OH)
    …which includes exposure to provider contracting and/or provider payment structures and health insurance claims , or equivalent relevant experience. Technical ... which includes exposure to provider contracting and/or provider payment structures and health insurance claims , or equivalent relevant experience. Technical… more
    Medical Mutual of Ohio (10/22/24)
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  • Billing Analyst - Physician Billing

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …Cycle Operations + Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common medical billing ... A day in the life of a Billing Analyst with Hackensack Meridian Health includes: + Utilizes billing system reports for analysis, identifies trends and developments;… more
    Hackensack Meridian Health (11/23/24)
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  • Senior Credit and Collections Specialist - Paragon…

    Elevance Health (Columbus, OH)
    …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
    Elevance Health (11/13/24)
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  • Remote Billing Representative - Remote

    Essentia Health (Duluth, MN)
    …communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and ... **Department:** 46820 Senior Services CBO **Job Description:** Processes paper and electronic claims to payers with full and complete information to satisfy and… more
    Essentia Health (11/20/24)
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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 ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...Access, and Power BI) skills. . Knowledge of interfacing health plan data, including membership and claims ,… more
    Medical Mutual of Ohio (10/19/24)
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  • Sr Appeals Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …education. . 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims , customer service, billing or related operations ... determines eligibility, benefits, and prior activity related to the claims payment or service denial issues related to appeal...million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
    Medical Mutual of Ohio (11/14/24)
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  • Medical Billing & Coding Specialist

    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
    Arab Community Center for Economic and Social Serv (09/14/24)
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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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