- Merck & Co. (Rahway, NJ)
- …science to deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Trinity Health (Columbus, OH)
- …Type:** Full time **Shift:** **Description:** Remote position - Seeking Claims processing with Medical Insurance Minimum of 5 years experience ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the… more
- University of Utah Health (Murray, UT)
- …years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and familiarity with medical ... customer service to members, providers, billing departments, and other insurance companies regarding claims . + Documents phone...of the job as outlined above. + Experience with claims processing in a health care delivery… more
- University of Utah Health (Murray, UT)
- …+ Associate's degree, or equivalency which could include two years of experience in insurance , medical claims processing , and benefits enrollment ... position is responsible for updating and maintaining eligibility information and coordinating insurance claims . Corporate Overview: University of Utah Health is… more
- Robert Half Accountemps (Danville, KY)
- …area. The ideal candidate will have a background in medical billing and insurance claims processing , with the ability to effectively communicate with ... billing and coding staff to ensure accurate and compliant claims submission. + Verify insurance eligibility and... medical terminology, billing codes (CPT, ICD-10), and insurance claim processing . + Excellent communication skills,… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of ... of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received from patients and/or HCPs across a broad product… more
- Dignity Health (San Luis Obispo, CA)
- …on TES PIRs and denial management. + Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. + Knowledge ... serves as the liaison for patients and provides education to patients regarding insurance coverage and guidelines. The Financial Services Associate II will evaluate … more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- **Business Claims Processing Specialist** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 ... to assist in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Albany, NY. This is an opportunity to join an… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1405087 Posted On 01/17/2025 **Job Overview** ** Claims Processing ... River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue...making necessary changes and capturing correct patient demographics and insurance information. + Prepare commercial insurance checks… more
- Humana (San Juan, PR)
- …part of our caring community and help us put health first** The Supervisor, Claims Processing reviews and adjudicates complex or specialty claims , submitted ... either via paper or electronically. The Supervisor, Claims Processing works within thorough, prescribed guidelines...supervisory and /or leadership experience + Applied knowledge of insurance processing , + Proficiency in all Microsoft… more
- TEKsystems (Richardson, TX)
- …providers for missing information. + Process electronic claims (EMC). Top Skills Details + medical claims + processing + data entry + hospital billing + ... involve navigating through multiple computer screens/programs to investigate and verify Dental Insurance coverage and data entry of pertinent claims information.… more
- Conduent (Helena, MT)
- …+ Experience working with MT Medicaid **_Preferred Qualifications and Success Factors:_** + Medical claims and payment processing experience preferred + ... Duties/Responsibilities:** + Provides administrative/clerical support to business operations by performing processing tasks such as data entry. + Performs data entry… more
- Ascension Health (Jacksonville, FL)
- …party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + ... United States **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer...Review claims for accuracy, including proper diagnosis and procedure codes.… more
- TEKsystems (Richardson, TX)
- …decisions and payments on claims up to $75,000 aggregate liability. Skills medical claims processing , Claim, data entry, microsoft office, Epic, Hospital ... term disability, life, waiver of premium, critical illness, accident insurance and other claim type for various policies. May...the following claim types: Life or Waiver of Premium claims . * Experience in processing any of… more
- Virginia Mason Franciscan Health (Issaquah, WA)
- …tasks, such as scheduling appointments, maintaining medical records, and processing insurance claims + Providing excellent customer service ... so, then we encourage you to apply for the ** Medical Assistant** position at Virginia Mason Franciscan Health in...environment where our employees can thrive. **About Our Regional Medical Center at Issaquah:** Our Issaquah Regional Medical… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …Automobile No-fault etc. all necessary. Transmits claims and current medical reports to insurance company. Corresponds with field activities claimants' ... that appropriate forms are completed and forwarded to the insurance company for further processing . As necessary...gain general knowledge of medical /dental and life insurance and benefit claims . OR SUBSTITUTION OF… more
- Virginia Mason Franciscan Health (Issaquah, WA)
- …tasks, such as scheduling appointments, maintaining medical records, and processing insurance claims + Providing excellent customer service ... so, then we encourage you to apply for the ** Medical Assistant** position at Virginia Mason Franciscan Health in...environment where our employees can thrive. **About Our Regional Medical Center at Issaquah:** Our Issaquah Regional Medical… more
- Mass Markets (Dallas, TX)
- …and manage production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, claims , call center ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
- Commonwealth of Pennsylvania (PA)
- …INJURY LIABILITY CLAIMSNegotiates dollar limits of medical malpractice liability claims settlement offers involving insurance carrier payments which involves ... A. I have experience negotiating dollar limits of medical malpractice claims settlement offers involving insurance carrier payments which involves lump sums… more
- TEKsystems (Richardson, TX)
- … processing one (1) of the following claim types: Life or Waiver of Premium claims . * Experience in processing any of the following two (2) claim types: ... Description Responsible for examining and processing all claim types including short term or...term disability, life, waiver of premium, critical illness, accident insurance and other claim type for various policies. Job… more
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