- TEKsystems (Belleville, IL)
- …investigate and verify Dental Insurance coverage and data entry of pertinent claims information. + Input required claim information into system for payment, ... to resolve errors and contact providers for missing information. + Process electronic claims (EMC). Skills + Knowledge and experience within medical claims … more
- Providence (OR)
- …the best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist, Medicare who will:** + Process claims for ... areas of expertise: + 2 years: Healthcare Environment + 2 years: Healthcare Claims Processing + 2 Years: Healthcare : Medical Billing / Coding + 2… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** As a ** Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the ... + High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and… more
- HCA Healthcare (Austin, TX)
- …Do you want to join an organization that invests in you as a(an) Claims Coordinator? At St. David's Healthcare , you come first. HCA Healthcare ... over the course of three years. **Benefits** St. David's Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Claims Coordinator like you to be a part of… more
- Nestle (Palm Beach Gardens, FL)
- …and nutrition for patients and consumers. **Job Description:** The Customer Solutions and Claims Associate serves as the primary point of contact and advocate ... as assigned by the Supervisor of Customer Solutions & Claims team. **Requirements:** * High School Diploma or GED...package, which includes a 401(K) with a company match, healthcare coverage and a broad range of other benefits.… more
- Molina Healthcare (Long Beach, CA)
- …advanced Excel or SQL. + Must be able to conduct root cause analysis in Healthcare Porvider claims data.. + Experienced in Healthcare domain specifically ... HS Diploma or GED **Required Experience** 0-1 year **Preferred Education** Associate degree or equivalent combination of education and experience **Preferred… more
- Molina Healthcare (Savannah, GA)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... preferred + Salesforce experience preferred **JOB QUALIFICATIONS** **Required Education** Associate 's Degree or equivalent combination of education and experience… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Claims Quality Auditor II works closely with the ...maintains up-to-date knowledge of current trends and issues in healthcare , national and statewide standards and regulations, policies and… more
- Humana (Tampa, FL)
- …a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... support duties that require independent initiative and judgment. Tampa Office The Claims Research & Resolution Representative 2 + Works with ancillary departments,… more
- Molina Healthcare (Spokane, WA)
- …and training materials as needed. **JOB QUALIFICATIONS** **Required Education** Associate 's Degree or equivalent combination of education and experience **Required ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Dignity Health (Bakersfield, CA)
- …responsible for the detailed and accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims ... **Qualifications** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2...and medical terminology. + Associate 's Degree - Associate 's Degree in healthcare administration, business, or… more
- University of Utah Health (Murray, UT)
- …that are integral to our mission. EO/AA_ + This position is responsible for auditing claims and customer service calls for UUHP. + The Claims and Customer ... Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1...Performs routine and complex audits on phone calls and claims adjudication. + Researches claim processing problems and errors… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... claims utilization billing, and employer group reimbursements are completed...related field preferred + Minimum of 1 year of healthcare , insurance, or other financial experience required + Demonstrate… more
- Hackensack Meridian Health (Eatontown, NJ)
- …community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Responsible for long-term care ... the pharmacy operations team to ensure timely submission and resolution of prescription claims . **Responsibilities** A day in the life of a Pharmacy Claims … more
- UNUM (Portland, ME)
- …candidates to fill various roles related to managing leave requests and disability claims . When you apply, you'll be considered for positions such as Integrated Paid ... Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate ...+ Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately. + Determine if employees are… more
- The City of Houston (Houston, TX)
- SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/4777388) Apply SENIOR WORKERS' COMPENSATION ... CLAIMS COORDINATOR Salary $54,323.88 - $63,357.06 Annually Location 611...+ Paid Prenatal, Parental and Infant Wellness Leaves + Healthcare Flexible Spending Account For plan details, visit http://www.houstontx.gov/hr/benefits.html… more
- DriveTime (Mesa, AZ)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** In short,...optimistic attitude. **The Specifics.** + High School diploma required; Associate or Bachelor's deree is preferred + 3 +… more
- Signature Healthcare (Louisville, KY)
- Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, ... Work for three years in a row and Modern Healthcare 's "Best Places to Work!" This position will be...be limited to: managing administrative (survey) and other legal claims against company; interfacing with outside legal counsel; administering… more
- Trinity Health (Farmington Hills, MI)
- …and professional behavior. **MINIMUM QUALIFICATIONS** High school diploma or Associate 's degree in Accounting or Business Administration and successful completion ... or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service… more