- Sutherland Global Services (Columbus, OH)
- … Health and Wellness programs including a personal trainer dedicated to Sutherland + Health or health insurance claims experience + Knowledge of medical ... performance. Delivering measurable results._ This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much… more
- Providence (NM)
- …within the claims team, including other Claims Managers, Claims Technicians and Claims Specialists **Essential Functions:** **Investigate, Evaluate, ... retain the best people, we must empower them._** **Providence Health Plan is calling a General Liability Claims...through the Risk & Integrity Services division and Risk, Claims , & Insurance department **Providence welcomes 100% remote… more
- Providence (WA)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain Complete Documentation for Each ... through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote...hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New… more
- Randstad US (Charlotte, NC)
- cat claims field adjuster - remote . + charlotte , north carolina ( remote ) + posted october 22, 2024 **job details** summary + $65,000 - $85,000 per year + ... initiatives and IDE journey. POSITION OVERVIEW: CAT adjusters handle property claims requiring field investigations and/or inspections. They must establish rapport… more
- CVS Health (St. Paul, MN)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I ( Health & Dental)** **Location:** This position will work a **hybrid model ( remote and office)** . The ideal candidate will ... live within 50 miles of our Elevance Health PulsePoint location at **6087 Technology Pkwy, Columbus** **,...first 6 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing… more
- Sutherland Global Services (Columbus, OH)
- …Are you familiar with medical terminology? Do you have experience in a claims or credentialing environment? **Join us.** We are Sutherland. We provide our clients' ... of our healthcare team. You may be involved in claims adjudication and/or provider credentialing and, depending upon program...promoted from within + Employee Discounts + EAP & Health and Wellness programs including a personal trainer dedicated… more
- Elevance Health (Columbus, OH)
- ** Claims Representative I ( Health and Dental)** **Location:** Remote , within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, ... to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the...spreadsheets, etc.) strongly preferred. + Previous experience working in health claims is strongly preferred. ** For… more
- Indian Health Service (Nespelem, WA)
- Summary The position is at an ambulatory health care center. Performs clerical and record keeping for medical referral, ie sending a patient by health care ... professional to outside referrals for diagnostic testing, medical specialists . We are accepting applications year-round with eligible applicants being placed on a… more
- Elevance Health (Grand Prairie, TX)
- Title: Claims Representative I/II/III **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one ... of our PulsePoint locations. The ** Claims Representative** is responsible for successfully completing the required...to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the… more
- Randstad US (Worcester, MA)
- field cat claims adjusters. + worcester , massachusetts ( remote ) + posted 9 days ago **job details** summary + $68,000 - $80,000 per year + permanent + bachelor ... referenceAB_4640146 job details We are hiring 5 Field CAT Claims Adjusters to work, full-time, for our client, a...Handle business interruption (BI) features in conjunction with BI specialists + Works within specific limits and authority on… more
- Stanford Health Care (Palo Alto, CA)
- …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Productivity & Quality Operations Manager reports ... measures and quality control. The Operations Manager will manage a team of specialists to provide and summarize productivity and quality reports to the PBO Managers… more
- Molina Healthcare (MS)
- **_ Remote and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... payments for Hospitals, Independent Practice Associations, and complex Behavioral Health arrangements. Maintains network adequacy, issue escalations and JOCs. Entail… more
- AdventHealth (Altamonte Springs, FL)
- …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... **together** we are even better. **Job Location** : **Monday-Friday** ** Remote ** **The role you'll contribute:** The Coder Analyst IV...role you'll contribute:** The Coder Analyst IV is a Health Information Professional with a high level of coding… more
- Sutherland Global Services (Columbus, OH)
- …individuals with strong communication skills to join us as Medical Billing/AR Specialists ! Hourly rate of $18-$21/hr, DOE. In this position, you will be ... This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via...as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage +… more
- Centene Corporation (Lansing, MI)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- PeaceHealth (Vancouver, WA)
- …defects. Works collaboratively with business customers and other technology specialists to define and support business processes through information technology ... successful candidate is certified in Resolute Hospital Billing /administration. HB Claims and Remittance certification preferred. Must currently reside in WA, OR,… more
- Medical Mutual of Ohio (OH)
- **_Note, this is a fully remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** ... directly or forwards/escalates to other departments or PBM. Monitors paid claims for accuracy including for transition supply oversight. Ensures timely communication… more
- Elevance Health (Norfolk, VA)
- …to Plan Service Specialist I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of our ... of contact in responding to all Plan to Plan claims inquiries and resolving related issues. Plan to Plan...inquiries and resolving related issues. Plan to Plan Service Specialists may support Home (Representing members) which would require… more
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- …and real estate leases. Guide, assist, mentor, and train Contract Specialists . Aid requiring activities in performing market research, reviewing specifications and ... final disposition of payment and obtains adequate release of Claims documents to protect the agency. This is a...Telework eligibility will be discussed during the interview process. Remote : This may be a remote position.… more