- Wipfli LLP (Milwaukee, WI)
- …ensuring compliance with industry regulations. + Analyze and reconcile healthcare -related financial and operational data, including claims , reimbursements, ... healthcare operations, or a related client-facing role. + Familiarity with healthcare systems (eg, EHRs, claims processing platforms) and regulatory… more
- Somatus (Mclean, VA)
- …Analytics to create impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data. This position will work ... grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + 401(k)… more
- Lyric (Newtown Square, PA)
- …and Engineering as the client base grows Required Qualifications: + Experience in healthcare , claims processing, or Payment Integrity environments. + 5-8 years ... Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business...preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is excited to announce that we are hiring **Work-From-Home Claims Processors!** In this role, you'll play a key part in ensuring the accurate ... entry, review, and resolution of simple to moderately complex Medicaid claims . You'll follow established guidelines, procedures, and client policies while helping… more
- Lyric (Newtown Square, PA)
- …and regulations (HIPAA, HITRUST, HL7, FHIR) is a plus? + Background in healthcare payer operations or claims processing systems?is preferred + Relevant ... Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business...preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …in managed care, preferably within a medical management department with exposure to claims and member services + Familiarity with healthcare environments is a ... 2+ years in managed care, preferably in medical management, claims , or member services + Experience in healthcare... claims , or member services + Experience in healthcare or insurance settings **Diversity Statement** _At BroadPath, diversity… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Work and Improve People's Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working ... have the opportunity to drive real change by transforming healthcare . Premera is committed to being a workplace where...the business together to inform configuration that supports accurate claims processing. Act as a key resource and contact… more
- US Physical Therapy (Salem, OR)
- …process insurance/patient refund **Qualifications** + Experience in medical billing or healthcare administration + Strong understanding of insurance claims and ... inquiries + Post payments and manage daily charge audits + Bill insurance claims and send patient statements + Handle accounts receivable and collection accounts +… more
- Lyric (Newtown Square, PA)
- Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing ... overall waste in the healthcare ecosystem, enabling more efficient use of resources to...advise health plans on policy interpretation, coding requirements, and claims editing strategies. The ideal candidate will bring deep… more
- Lyric (Newtown Square, PA)
- …(CCS-P) are required prior to hire date. + 8 years or more relevant healthcare experience as a medical coder, medical claims adjuster, medical claims ... Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business...is vital to the expansion and effectiveness of our claims editing packages and helps ensure payment accuracy. **ESSENTIAL… more
- Caris Life Sciences (Irving, TX)
- …cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare -driven by innovation, compassion, and purpose. **Join us in our mission to ... The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role… more
- The Clorox Company (Pleasanton, CA)
- …to making a difference. As champions of public health, we empower healthcare professionals and cleaning experts with science-based solutions that help prevent the ... environments. We operate in the B2B market, and serve healthcare facilities, schools, offices, and other public spaces with...a vital role in developing innovative solutions and technical claims that address customer needs and support our mission… more
- Moses/Weitzman Health System (Hartford, CT)
- …and performs all aspects of accounts receivable collection and reprocessing of claims . **ROLE AND RESPONSIBILITIES** + Audits and resolves accounts with credit ... Collaborates with Office Mgr's regarding quality of data obtained by office staff, healthcare providers. + Organizes work load to achieve a high level of… more
- Stanford Health Care (Palo Alto, CA)
- …identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The ... analyzes pharmacy billing data, including but not limited to charges and claims , to identify discrepancies, trends, and compliance gaps. + Participates in/leads… more
- Port of Seattle (Seattle, WA)
- …engineering, and project management teams throughout procurement, bid protests, construction, claims resolution, and contract closeout. + You will retain and manage ... outside counsel to represent the Port in construction litigation, which may include claims against the Port or counterclaims by the Port in tens or hundreds of… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, ... is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to...competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by ... ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF)… more
- GRAIL (Menlo Park, CA)
- …safe, and effective technologies that can transform cancer care. We are a healthcare company, pioneering new technologies to advance early cancer detection. We have ... It is supported by leading global investors and pharmaceutical, technology, and healthcare companies. For more information, please visit grail.com GRAIL is seeking… more
- AeroVironment (Simi Valley, CA)
- …and consistent communication with employees, managers, third-party administrators (TPAs), healthcare providers, and internal HR partners. The specialist serves as ... for completeness and compliance; confirm AbsencePro requests clarifications from healthcare providers when necessary. + Maintain strict adherence to HIPAA… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …literature reviews and identification of secondary sources to support health economic claims . **Job Duties** + Serve as a primary analyst for clinical studies ... and RWE research using multiple clinical trial data and healthcare administrative data in support value proposition, abstract/manuscript submission. + Prepare… more
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