- 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 established guidelines.… more
- Mount Sinai Health System (New York, NY)
- …Cycle Manager. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX ... Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …+ HS/GED; Associates Degree or higher is preferred. + 5+ years experience in medical billing or health claims , with experience in current electronic ... these processes to ensure accurate and timely payment of claims and collection. This individual coordinates all activities related...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Associates Degree, or high school diploma/GED. + 10 years experience in medical billing or health claims , with experience in billing ... Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with...Health System is one of the largest academic medical systems in the New York metro area, with… more
- HCA Healthcare (Nashville, TN)
- …Qualifications** The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims processing at health plan payor, MSO, HMO, and IPA ... care environment, required + Hands-on knowledge and functional understanding of medical claims billing, processing, terminology, diagnosis and procedures. +… more
- TEKsystems (Sacramento, CA)
- …perform well in a call center team environment. Required Skills & Abilities: + Health insurance/Benefits or medical claims experience is required. + ... service, document the claim system, work with the Supplemental Health and Limited Medical Benefit products, and...and enter the information needed to enter and process claims accurately and in a timely manner. + Record… more
- Mount Sinai Health System (New York, NY)
- …experience. + Certified Procedural Coder with active credentials. + 5 years experience in medical billing or health claims , with experience in IDX billing ... and problem resolution, ensuring accurate and timely payment of claims and collection. Provides education and guidance on coding...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …high school diploma/GED plus 3 years of relevant experience + 3 years experience in medical billing or health claims , with experience in IDX billing systems ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (Richmond, NY)
- …high school diploma/GED plus 2 years of relevant experience + 2 years experience in medical billing or health claims , with experience in IDX billing systems ... accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + HS/GED; Associates Degree is preferred + 3+ years of experience in medical billing or health claims , with experience in billing systems ... these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Office Skills . Basic knowledge of health insurance products and medical terminology. ** Claims /Customer Care Specialist II - TPA** **Education and ... **_The Claims /Customer Care Specialist - TPA position allows you...you reside within a 50-mile radius of an Ohio Medical Mutual office._** Founded in 1934, Medical … more
- Mount Sinai Health System (New York, NY)
- …of transactions entered. **Qualifications** + High School diploma/GED. + 1 year experience in medical billing or health claims . + Experience with IDX billing ... duties **About Us** **Strength Through Diversity** The Mount Sinai Health System believes that diversity, equity, and inclusion are...Health System is one of the largest academic medical systems in the New York metro area, with… more
- CVS Health (Columbus, OH)
- …Qualifications** Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience **Preferred Qualifications** 3-5 Years of ... Medical Billing experience or health plan claims adjudication experience Technical Certificate in Medical Billing Microsoft Office with a focus on Excel,… more
- CVS Health (Providence, RI)
- …data, clinical protocols, and medical notification documents within CVS Health 's Medical Claims and Prior Authorization platform (Novologix). ... Bring your heart to CVS Health . Every one of us at CVS ...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... Office, including Outlook, Word, PowerPoint, and Excel. **Experience performing hospital medical claims follow-up with the Medicare and Medicare Advantage… more
- Elevance Health (Houston, TX)
- …II ( Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. **How ... ** Claims Representative II ( Health & Dental)**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- CVS Health (St. Paul, MN)
- …DG system claims processing experience. + Reinsurance / Stop loss medical claims experience. + Familiarity with overpayments **Education** Associate degree ... Bring your heart to CVS Health . Every one of us at CVS ...level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I ( Health & Dental)** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate will live ... within 50 miles of our Elevance Health PulsePoint location at **6087 Technology Pkwy, Columbus** **,...first 6 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health … more
- Providence (NM)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… more
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