- BroadPath Healthcare Solutions (Tucson, AZ)
- …will be crucial in maintaining our high standards of accuracy and efficiency in claims processing . **Compensation Highlights:** + Base Pay: $18.00 per hour + Pay ... performance under demanding production and quality standards + Technical proficiency with claims processing software + In-depth understanding of complex … more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …management **Qualifications** + High school diploma or equivalent + 1-3 years of medical claims processing experience + Medicare Claims Experienc + Knowledge ... to maintain focus in a high-volume, production-oriented environment + Proficiency with claims processing software and technology + Understanding of medical… more
- Stony Brook University (Commack, NY)
- …experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. ... Claims Processor **Required Qualifications (as evidenced by an...minimal supervision. S/he will be responsible for assisting the Claims Manager with the following duties: **Duties:** + Verifying… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …appropriate + Work effectively in a virtual, work-from-home environment while accurately processing claims **Qualifications** + 2+ years of recent health ... insurance claims processing experience + Ability to maintain balanced performance across production and quality + Ability to uphold confidentiality and present a… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing . Act as a key resource and contact for clinical coding, ... in response to cross-functional requests to inform accuracy and consistency for claims processing , reimbursement, benefit, and product configuration issues. +… more
- Lyric (Newtown Square, PA)
- … edit/denial management + 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional Coders (CPC) ... insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes), and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …foundational Utilization Management experience + General understanding of health plan operations, claims and eligibility systems, claims processing , and ... Texas Department of State Health Services + Background in benefits, claims processing , or membership **Diversity Statement** _At BroadPath, diversity… more
- LE Cox Medical Centers (Lake Spring, MO)
- …School Diploma or Equivalent ◦ Experience Preferred: medical billing experience and claims processing knowledge; familiar with the insurance industry and ... collection process ◦ Skills Excellent verbal and written communication skills. Able to work independently and collaboratively in teams. xhqgsiq Self starter. Proficient in using computers and computer systems Ability to multi-task and have attention to detail… more
- Port Authority of New York and New Jersey (New York, NY)
- …and or other data management tools. + Familiarity with Certificates of Insurance and claims processing + Experience with data analysis and reporting tools + ... and change-management initiatives, Certificates of Insurance review, data analysis, claims support, and risk-transfer activities. This role provides meaningful… more
- The Computer Merchant, LTD. (West Mclean, VA)
- …of Facets and their integration within payer systems. Proven expertise in Claims Adjudication and Processing . JOB DESCRIPTION: As an QNXT/Facets Developer ... of Facets and their integration within payer systems. Proven expertise in Claims Adjudication and Processing . Solid knowledge of Medicaid, payer systems,… more
- The Computer Merchant, LTD. (Blacklick, OH)
- …of PMBOK and best practices. * Healthcare/IT Experience: Experience supporting healthcare claims , financial processing , or pharmacy benefits manager projects for ... state governments, hospitals, or insurance companies. * Technical Proficiency: Skilled in using laptops, Microsoft products, and project scheduling tools (eg, Microsoft Project). * Leadership & Communication: Excellent verbal and written communication; ability… more
- Seattle Children's (Seattle, WA)
- …four years of experience with progressive responsibility in a medical services claims processing role. Technical understanding of CMS and/or Commercial/Medicaid ... Credentials** N/A. **Preferred** Extensive years of relevant medical services claims processing experience. Experience implementing process improvement… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …career move as one of our compliance champions\! With your strong background in claims processing , you'll play a pivotal role in monitoring Medicare Advantage ... Part C and D claims to ensure accuracy, integrity, and compliance across the...of the most impactful areas of healthcare\. For seasoned claims professionals, this is more than a job; it's… more
- University Health (San Antonio, TX)
- …Analyst maintains and oversees the loading of provider contracts and fee schedules into claims processing system to ensure claims payment accuracy and ... consistency. Analyze complex problems pertaining to claim payments, The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. Provides additional support to interdepartmental teams regarding provider pricing.… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address… more
- COOLSOFT (Columbia, SC)
- …A STRESSFUL ENVIRONMENT PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): HEALTHCARE CLAIMS PROCESSING PROCESS DEVELOPMENT AND MANAGEMENT INCIDENT AND CHANGE ... MANAGEMENT REQUIRED EDUCATION AND EXPERIENCE: A bachelors degree and 6-12 years of project management experience. REQUIRED CERTIFICATIONS: Project Management Professional (PMP) Call502-379-4456 Ext 100for more details. Please provide Requirement id: 156217… more
- Lyric (Newtown Square, PA)
- …HL7, FHIR) is a plus? + Background in healthcare payer operations or claims processing systems?is preferred + Relevant certifications in cloud platforms or ... healthcare technology standards?is a plus The US base salary range for this full-time position is: $122,425.00 - $183,638.00 The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's… more
- US Physical Therapy (Sanford, FL)
- …and resolving insurance-related issues + Coordinate with billing department for accurate claims processing **Qualifications** + 2+ years of experience in ... benefits, and eligibility for patients while ensuring accurate and timely processing of insurance information. + Verify patient insurance coverage, benefits, and… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …geography: national and regional health plan medical directors, policy analysts, claims processing , key practice managers, state/national societies + Serve ... as strategic field lead to develop strategic implementation plans to influence targeted national/regional managed care customers to ensure favorable market access policy of Olympus supported products + Provide real-time resolution for reimbursement questions… more
- SMBC (White Plains, NY)
- …Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Risk mitigation discipline + Identification ... and escalation of settlement breaks as needed. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary systems. + Identify opportunities for… more
