- DW Simpson (San Francisco, CA)
- …an ACAS with a least 5 years of actuarial experience to join as a Claims Actuary . In this role, you will perform trends analyses, identify opportunity areas ... regarding claims performance, monitor loss adjustment expenses, and validate reserving methodology & values. Must be highly analytical, possess programming… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for an Associate , Bilingual Medicaid- Member Service Representative to join #TeamMVP. This is the ... for our customers in every interaction Your key responsibilities: The Associate , Medicaid Member Service Representative is responsible for providing optimum customer… more
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical ... claims and attention to detailthis is the opportunity for...New York Qualifications you'll bring: High School Diploma required. Associate degree in health, Business or related field preferred… more
- Eisai, Inc (Nutley, NJ)
- …If this is your profile, we want to hear from you. The Global Associate Director, will lead projects and contribute to the payer evidence strategy for key ... maintaining internal stakeholder relationships is key.It is expected that the Associate Director will work independently to complete analyses while proactively… more
- Aveanna Healthcare (Brookfield, WI)
- …regulations * In collaboration with the Client Relations Director, CRD/Client Relations Associate , CRA, visits with the various referral sources * Ensure hiring ... clients * Oversight if internal billing and collection efforts to generate clean claims Requirements * High School Diploma * Valid Driver's License and Acceptable… more
- UnitedHealthcare (Tempe, AZ)
- …health insurance plan Learn and demonstrate knowledge of all phases of claims processing, including enrollment management, the appeal process, the pre - ... an Ambassador for the company while solving complex health care inquires The Associate Service Account Manager acts as a customer advocate to resolve escalated and… more
- Optum (Vineland, NJ)
- …this job advert carefully Please make your application promptly. Optum is seeking an Associate Patient Care Coordinator to join our growing team. At Optum, we are ... opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team. The...courteously Perform referral documentation promptly Working daily in the claims edit work queue and referrals work queue to… more
- Optum (Kirkland, WA)
- …Center of Washington, part of the Optum family of businesses, is seeking an Associate Patient Care Coordinator to join our team in Kirkland, WA. Optum is a ... and convenient settings, facilitated by compassionate and competent counselors. As an Associate Patient Care Coordinator , you will be responsible for providing… more
- Eisai, Inc (Cincinnati, OH)
- …with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Sanofi (Morristown, NJ)
- Job Title: Associate Director, Cross-portfolio Analytics - Vaccines Location: Morristown, NJ About the Job Ready to push the limits of what's possible? Join Sanofi ... teams from Sanofi hubs to optimize process excellence and efficiency The Associate Director, Cross-portfolio Analytics - Vaccines, will be responsible for the… more
- Klamath Tribal Health & Family Services (Klamath Falls, OR)
- …data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of ... all accounts, payment posting, claims audit and research. The incumbent shall also function...(CCS), Registered Medical Coder (RMC), RHIA, RHIT or an Associate 's degree in Medical Office Systems or Health Information… more
- Ac Pro (Fontana, CA)
- …all properties. Partner with HR, Safety, and Operations on worker's compensation claims and return-to-work programs. Promote company values of kindness and customer ... service among night staff Manage schedules, associate evaluations, attendance, and payroll. Conduct regular meetings, training courses, coaching, etc. Apply… more
- Jacob's Pillow Dance Festival (Becket, MA)
- …funding, employer contributions, and reporting. Facilitates all workers compensation claims . Respond to verification of employment (VOE), and unemployment requests ... mediation, management coaching, employee crisis management, etc. Required Qualifications Associate 's Degree Minimum 3 years of HR/Payroll experience. Working… more
- PedIM Healthcare (Crystal River, FL)
- …Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient billing data and ... resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or denied claims and handle appeals as needed. Work with… more
- MVP Health Care (Tarrytown, NY)
- …in Health Administration, Business, Economics, Health Informatics, or related field. Associate 's degree with the equivalent combination of related experience may ... other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices"… more
- AdaptHealth LLC (South San Francisco, CA)
- …as well as system interaction. Requirements: Minimum Job Qualifications: * An associate degree from an accredited college required, bachelor's degree preferred. * ... is required. * Relevant experience in health care, insurance customer services, claims , billing is preferred. * Valid and unrestricted driver's license in the… more
- Allied Digestive Health (Great Neck, NY)
- …billing processes. Minimum Qualifications: High school diploma or equivalent required; associate degree or higher in healthcare administration or related field ... and recommend process improvements. Responsibilities: Prepare and submit accurate medical claims to insurance companies and other third-party payers in a timely… more
- KOHLER (Bloomington, MN)
- …various correspondence, reports and forms related to daily activities, expenses, claims , Manage pricing programs in territory according to established company ... 30%. #LI-KS1 #LI-Remote CUSTOM.PAY.TRANSPARENCY Why Choose Kohler? We empower each associate to #BecomeMoreAtKohler with a competitive total rewards package to… more
- Collabera (Austin, TX)
- Position Details : Industry - Banking and Financial Title - Bilingual Call Center Associate Duration - 12 months Location - Austin, TX (ONSITE) Pay - $19/hour to ... assistance to Medicaid providers and clients regarding eligibility, medical claims status, and other program-related questions. Respond promptly, courteously, and… more
- University Health (San Antonio, TX)
- …preserving the confidential nature of information. EDUCATION/EXPERIENCE Bachelor's or Associate 's degree from an accredited college or university strongly preferred. ... is strongly preferred. Minimum three years' experience in clinical auditing and claims validation reviews within a hospital or Ambulatory Surgery Center (ASC)… more
