- Aveanna Healthcare (Madison, WI)
- …internal billing, collections, and revenue cycle processes to ensure clean claims and financial efficiency. Qualifications Minimum 3 years of operational leadership ... experience in Home Health, Hospice, or related healthcare settings. Strong understanding of federal and state regulatory requirements for home health agencies.… more
- University of California Santa Cruz (Santa Cruz, CA)
- …SHS is deeply committed to ensuring affordable, well-integrated, multidisciplinary healthcare that effectively supports the university's diverse campus communities ... performs a wide variety of tasks in the following areas: insurance claims , insurance authorizations, data entry, front desk, and administrative support. APPOINTMENT… more
- WALGREENS (Duluth, MN)
- …Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading ... medication usage, side effects, and cost-effective options Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …understand provider experience and develops external partnerships with provider and healthcare organizations, including hospitals and SNFs. Serves as coach and ... with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine basis....Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth experience of Mass Health and CMS… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working… more
- CenterWell (Atlanta, GA)
- …organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and ... organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do:** The **Credit Balance Specialist** **(Physician Claims )** will manage credit balance workloads and respond and follow-up on external ... lieu of diploma / GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working knowledge can be of… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Requirements:** + 3 year(s) hands-on experience in ** Healthcare Claims Processing** + **In-depth, hands-on, practiced experience ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client....Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Dignity Health (Bakersfield, CA)
- …responsible for the detailed and accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims ... procedures. **Job Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2 years in a senior or… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Cedars-Sinai (Los Angeles, CA)
- …with the ANSI X12 837 format used for electronic submission of professional healthcare claims . Understanding of the key segments, including: + ISA/GS/GE/ST ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more
- NTT DATA North America (Plano, TX)
- …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in ** Healthcare Claims Processing** + **Previously performing - in P&Q ... overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- CVS Health (Franklin, TN)
- …experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three ... customer experience. **Education** + Bachelor's Degree and/or equivalent work experience in claims training and/or claims knowledge/ healthcare training… more
- Dignity Health (Bakersfield, CA)
- …School Graduate or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably ... **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the...(eg, QNXT, EZCAP). **Preferred Qualifications:** + Bachelor's degree in Healthcare Administration, Business, Finance, or related field or equivalent… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... 011250 CCA- Claims Hiring for One Year Term **_This position...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …specifications and requirements. + Knowledge of EPIC and/or the Change Healthcare Assurance Claims Scrubber application. **Licenses and Certifications ... keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change....leader of positive change. The **Manager of Specialty Services, Claims & Accounts Receivable** is responsible for overseeing the… more
- Guidehouse (San Marcos, CA)
- …+ Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment. + Perform effectively when confronted with emergency, critical, ... / GED. + 0-2+ year's experience in office, business, operations, customer service or healthcare field. **What Would Be Nice To Have** **:** + 6+ months of payment… more
- Molina Healthcare (Buffalo, NY)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment ... hours will be 7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor,… more
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