- Atrius Health (Chelmsford, MA)
- …institution or governmental unit required. EXPERIENCE * Three years' experience in physician medical billing, health plan claims administration or other ... and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Medical Claims Follow-Up Specialist* **Location:** *Chelmsford MA… more
- 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)
- …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 (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
- 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
- University of Utah Health (Murray, UT)
- …or the equivalency. + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and ... of the job as outlined above. + Experience with claims processing in a health care delivery...with medical coding, or experience as a medical claim processor. **Qualifications (Preferred)** **Preferred** + Extensive Customer… 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 (Irving, TX)
- …or other related background. - Previous work experience in a RxClaim applications, PBM, Medical Claims , Health Insurance, Pharmacy, or Benefits. - Advanced ... Bring your heart to CVS Health . Every one of us at CVS ...to apply logical thinking and investigating skills to research claims issues, formulate a strategic approach to efficiently build… more
- CVS Health (Austin, TX)
- …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
- Intermountain Health (Murray, UT)
- …problems. Minimum Qualifications Demonstrated experience in any of the following: + Medical /pharmacy claims processing. + Health benefit coordination. + ... in English and Spanish Skills + Pharmacy + Pharmacy Benefits Management (PBM) + Medical Prescriptions + Pharmacy Claims + Call Center + Customer Service +… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** Remote position - Seeking Claims processing with Medical Insurance Minimum of 5 years experience in ... CPC, CPC-P or equivalent preferred + Minimum of 5 years experience in claims auditing, billing and/or coding. + Must possess an in-depth knowledge of current… 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
- Elevance Health (Roanoke, VA)
- …ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. A ** Claims Representative** is responsible for successfully completing ... for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied...DC), New York. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- LA Care Health Plan (Los Angeles, CA)
- …tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with LA Care. This role works ... auditing procedures under minimal supervision during the audits of medical groups and health plans. Provide timely...audit results. Perform claims audits for all medical groups and health plans contracted with… more
- Dignity Health (Rancho Cordova, CA)
- **Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. ... Dignity Health Medical Foundation is an affiliate of...This position has contact with Internal and External providers Health Plans Contract Department Hospital Capitation Claims … more
- Whitney Young Health Center (Albany, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... date . Four (4) years of progressive experience in medical billing and claims processing in a...Clinical degree/background preferred. Prior experience reviewing and coding from medical records. Behavioral Health , Mental Health… more
- Sutherland Global Services (Columbus, OH)
- …a personal trainer dedicated to Sutherland + Health or health insurance claims experience + Knowledge of medical terminology + Some experience in a ... facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are… more
- Sedgwick (Rancho Cucamonga, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Future Medical Medical Only Claims Representative Workers Compensation Are… 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 ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...(must have):** + Knowledge and experience of claim operations, health care reimbursement, public health care programs… more
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