- Providence (Anaheim, CA)
- …a health plan, medical group or IPA setting. + Experience with computerized claims processing /transaction system and medical coding (CPT, ICD9 and HCPCS). ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- CVS Health (Tualatin, OR)
- …health care more personal, convenient and affordable. **Position Summary** The 340B Sr . Claim Processor is responsible for optimizing the 340B program revenue for ... CVS Specialty/Coram Pharmacies, by working with those department, as well as senior management. They will also be responsible for managing the liaison between CVS… more
- NFTA (Buffalo, NY)
- …making claims management decisions subject to final review and approval by the Senior Claims Representative or the Manager. ESSENTIAL FUNCTIONS: The list ... CLAIMS REPRESENTATIVE Title Description: NON-REPRESENTED Date...attends trials and mediations as necessary. * Assists in processing all claims from initial report to… more
- The Hartford (Hartford, CT)
- Sr Representative Claims -...to ensure the highest level of customer service. + Claims Processing and Administration. + Investigation and ... claims team as a Marine claim adjuster Specialist. Responsible for maintaining and processing Marine claims . You will be handling a wide variety of claims… more
- HonorHealth (Phoenix, AZ)
- Overview Sr Patient Account Collection Rep Schedules: 6:00am-2:30pm, 7:00am-3:30pm, or 8:00am-4:30pm $1500 New Hire Bonus Available! Looking to be part of ... solving. Reconciles complex, multi-payment accounts. Submits appeal letters on underpaid claims as directed. Interprets payer contracts to determine if payment and… more
- Fujifilm (Richmond, VA)
- …Holdings America Corporation reporting to FUJIFILM Holdings Corporation. We are hiring a Senior Customer Service Representative . The Senior Customer Service ... + Minimum of 5 years of domestic and international customer service order processing and export documentation. + Customer Service Representative role. + Current… more
- HealthEdge Software Inc (Columbus, OH)
- …and implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing . The successful candidate will be responsible for taking ... a senior level role in analyzing claims data,...experience in healthcare payment integrity, content & policy, contracts, claims processing , or a closely related field,… more
- HCA Healthcare (Campbell, CA)
- …as required. Perform other duties as assigned. What you will need: + Prior claims processing experience or strong knowledge of provider billing procedures. + ... where diversity and inclusion thrive? Submit your application for our Customer Service Representative opening with HCA Healthcare today and find out what it truly… more
- CareFirst (Baltimore, MD)
- …be non-compliant with contracts and or statutory requirements especially in the claims processing , enrollment and service arenas all jurisdictions, all products, ... **Resp & Qualifications** **PURPOSE:** The Senior Regulatory Compliance Analyst will conduct independent analysis...expert for business processes and related systems as the representative of the company. Provide education regarding systems and… more
- Randstad US (Louisville, TN)
- …disputed claims . Assembles and forwards appropriate documentation to the senior representative for provider related issues. Reviews carrier provider manuals ... etc. Performs any and all duties as directed by Senior Representative , Supervisor, and Accounts Receivable Manager....Organizational Skills (1 year of experience is required) + Claims Processing + Billing Qualifications + Years… more
- Robert Half Office Team (Montvale, NJ)
- Description We are offering a contract as a Sr . Customer Service Representative in our retail industry team based in Montvale, New Jersey. The Sr . Customer ... Relationship Management) systems for tracking customer interactions * Skilled in Data Processing , with the ability to efficiently manage and organize large amounts… more
- HealthEdge Software Inc (Columbus, OH)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform).… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Marketing Representative to join our team! Summary: This position is responsible qualifying ... minimum of once per quarter. Submits qualified submissions for processing to Underwriter in complete form with a request...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to ... and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions.… more
- Independent Health (Buffalo, NY)
- …of clinical care management processes, member benefit structures and applications, and claims processing . + Knowledge of medical necessity criteria development, ... and on savings opportunities and/or impacts from team activities to senior leadership. **Qualifications** + Bachelor's degree required. Master's degree preferred. An… more
- Woodforest National Bank (The Woodlands, TX)
- …country! The Team Lead Debit Card Dispute is responsible for investigating and processing debit card dispute claims initiated by customers regarding the ... complex cases. Additional responsibilities will include approval of delegated dispute claims , re-dispute processing , review of high-risk transactions and assist… more
- HealthEdge Software Inc (Columbus, OH)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... and thrive in the emerging healthcare economy. We are looking for Senior Test Automation Architect to revolutionize automation platforms across HealthEdge business… more
- Mass Markets (IA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW SENIOR SYSTEMS ADMINISTRATOR MCI is a rapidly growing,...professionally at all times. The requirements listed below are representative of the knowledge, skill, and/or ability required. +… more
- Pacificorp (Salt Lake City, UT)
- …five years' insurance-related experience. **Preferences** **Preferences:** + Certified Insurance Service Representative , Associate in Claims or Associate in Risk ... Insurance Analyst (Mid/ Sr . Levels) - Salt Lake City, UT -...prepare and analyze financial, insurance and claim reports for senior management, department managers, brokers and state agencies. *… more
- Guardian Life (Boston, MA)
- …experience in Group Benefits from initial sale through ongoing administration, employee enrollment, claims processing , and plan renewals. + Can work in a highly ... on a multi-year journey to modernize our policy administration and claims platforms to enable a best-in-class customer experience. The Implementation Program… more