- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: Jun 6, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... energized staff that is fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the primary subject matter expert for the… more
- Guidehouse (Gardena, CA)
- …may contact Chris Rivera (Manager, Talent Acquisition) at ###_** **Essential Job Functions** + Medicare Claims + Account Review + Appeals & Denials + Medicare ... with UB04, appeals & denials. **What Would Be Nice To Have** **:** + Medicare claims emphasis + PC skills in a Windows environment are required. Knowledge and… more
- USAA (Phoenix, AZ)
- …or a military spouse/domestic partner + 5 or more years of Medicare Supplement claims and/or Medicare Claims knowledge and experience + 5 or more years ... currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee… more
- Mathematica (Washington, DC)
- …statistical analyses and modeling of drug treatment exposure on healthcare outcomes using Medicare claims data (including Part D data) * Bring creative ideas ... the development of economic and statistical models using administrative claims and other data sources. In particular, we are...sources. In particular, we are looking for individuals with Medicare Part D expertise who can apply data analytics… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …implementation of policies related to claims processing and system work. Perform Medicare claims processing, claims reviews, and the adjudication of ... provider claims to administer and monitor contracts with Medicare contractors. Review and provide analysis for claims /transactions processing activities, … more
- Iowa Department of Administrative Services (Des Moines, IA)
- …will be required to have advanced knowledge of current Medicaid and optionally Medicare claims and billing processes. Employee must have strong verbal and ... Medicaid Accountant 3-Medicaid Claims and Reimbursement Specialist Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4541586) Apply Medicaid… more
- Molina Healthcare (Lexington, KY)
- …execute strategies to enhance call center performance, ensuring efficient handling of Medicare inquiries, claims , and member services. + Collaborate with ... in managing and optimizing call center operations, with a focus on supporting Medicare -related services. As an AVP, you'll lead a team responsible for delivering… more
- Randstad US (Aurora, CO)
- …and researches vendor and member problems, questions, or complaints. + Ensures claims /bills meet eligibility, benefit, and Medicare requirements. + Utilizes ... Billing - Denials + EHR/Epic + Microsoft Office + EMR + Medicare Compliance + Claims Adjudication Qualifications + Years of experience: 0 years + Experience… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …of monthly triple check forms and audit for accuracy per triple check policy prior to claims submission + Review of Medicare A, Medicare A No Pays/Benefit ... Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare , Commercial, and Medicaid billing guidelines +… more
- Health Advocates Network (Folsom, CA)
- …MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims , authorization, and documentation requirements. + Proficient in ... computer skills including Microsoft Office Applications. **Benefits We Offer:** + Competitive pay rates, Referral opportunities, Comprehensive health, prescription, dental, vision, life, and disability plans, and more! **To apply for this job now or to find… more
- Sedgwick (Columbus, OH)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a… more
- Sedgwick (Baton Rouge, LA)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE:** To analyze complex or technically… more
- Regional Transit Service (Rochester, NY)
- …but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier, as may be ... Senior Claims Representative - Workers' Compensation / Automobile Apply...principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent… more
- Access Dubuque (Dubuque, IA)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... Claims Examiner - Liability **Sedgwick** 1 Positions ID:...principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent… more
- Sedgwick (Long Beach, CA)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Long Beach, CA (Hybrid) Are you looking for an… more
- Sedgwick (Hunt Valley, MD)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Workers Compensation IF YOU CARE, THERE'S A PLACE FOR YOU HERE For… more
- WelbeHealth (Los Angeles, CA)
- … claims in a complex managed care environment . In depth experience with Medicare and Medicaid claims processing (professional & institutional claims ) . ... ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely...pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners. **This is… more
- Sedgwick (Long Beach, CA)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Long Beach, CA **PRIMARY PURPOSE** : To analyze complex… more
- The MITRE Corporation (Mclean, VA)
- …Health Agency, Hospice, Carrier, Durable Medical Equipment, Prescription Drug Event (PDE), and Medicare Advantage Encounter claims . + Degree in a data related ... a difference with us. MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise...engagement, or program implementation to support the Centers for Medicare and Medicaid Services (CMS) through all phases of… more
- UCLA Health (Los Angeles, CA)
- …and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings. ... complex claim issues as well as train others on claims processes and workflows. Salary Range: $28.23 - $40.44...or equivalent + Four or more years of medical claims payment experience in an HMO setting + Expertise… more
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