- BroadPath Healthcare Solutions (Tucson, AZ)
- …by management **Qualifications** + High school diploma or equivalent + 1-3 years of medical claims processing experience + Medicare Claims Experienc ... in a high-volume, production-oriented environment + Proficiency with claims processing software and technology + Understanding of medical terminology,… more
- Stony Brook University (Commack, NY)
- …full-time experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical ... Claims Processor **Required Qualifications (as evidenced by an...degree, two (2) years of full-time experience in a medical setting may be considered. Four (4) years of… more
- Seattle Children's (Seattle, WA)
- …experience. Minimum four years of experience with progressive responsibility in a medical services claims processing role. Technical understanding of ... billing regulations. **Required Credentials** N/A. **Preferred** Extensive years of relevant medical services claims processing experience. Experience… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and make independent, informed recommendations. + Working knowledge of billing, coding, claims processing , medical terminology and anatomy. + Working ... the business together to inform configuration that supports accurate claims processing . Act as a key resource...policy changes, and coding changes. + Research and interpret medical claims utilization and program participation. Present… more
- LE Cox Medical Centers (Lake Spring, MO)
- …◦ Education Required: High School Diploma or Equivalent ◦ Experience Preferred: medical billing experience and claims processing knowledge; familiar ... about billing information and establishing estimates for patients who have a scheduled medical service or procedure. The Financial Advisor works with the patient to… more
- LE Cox Medical Centers (Lake Spring, MO)
- …delay your application. Required: High School Diploma or Equivalent Experience: Preferred: medical billing experience and claims processing knowledge; ... about billing information and establishing estimates for patients who have a scheduled medical service or procedure. The Financial Advisor works with the patient to… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …with claims processing software + In-depth understanding of complex claims procedures and medical terminology + Knowledge of HEDIS, DOC, HCFA, and ... crucial in maintaining our high standards of accuracy and efficiency in claims processing . **Compensation Highlights:** + Base Pay: $18.00 per hour + Pay… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …appropriate + Work effectively in a virtual, work-from-home environment while accurately processing claims **Qualifications** + 2+ years of recent health ... all required data fields are present and that necessary medical records are included and reviewed when required +...insurance claims processing experience + Ability to maintain… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation ... Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the third-party administrator (TPA)… 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...+ Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly,… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …a variety of national stakeholders within geography: national and regional health plan medical directors, policy analysts, claims processing , key practice ... ? Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill… 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 ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more
- Lyric (Newtown Square, PA)
- …payer or automated claims editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor/reviewer, or ... managing a team of high performing Clinical Managers and Medical Content Analysts. In this intricate role, the Senior...+ 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …High school diploma or equivalent + Experience in managed care, preferably within a medical management department with exposure to claims and member services + ... UM Assistants** . This role is responsible for receiving, processing , and accurately entering demographic information for all referral...coding + 2+ years in managed care, preferably in medical management, claims , or member services +… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …foundational Utilization Management experience + General understanding of health plan operations, claims and eligibility systems, claims processing , and ... Texas Department of State Health Services + Background in benefits, claims processing , or membership **Diversity Statement** _At BroadPath, diversity… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...clean claim submission. This position is responsible for pulling medical records to submit with claims and… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... provider engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… 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 ... tasks. This includes, but is not limited to, initial authorization processing (data entry, eligibility verification, benefits verification, and requesting required… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Include: Answering calls from provider offices and members of the medical group Performing PCP assignment updates Providing or scheduling translation services ... Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or claim payment status Any other… more
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