- 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
- 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...of health plan developed review criteria. This is a work-from- home opportunity! This role is PT (typically 20 hours… more
- Cognizant (Helena, MT)
- …8-5pm EST._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US ... This remote position offers the flexibility of working from home during day shifts allowing you to balance work...commercial payers). + 2-4 years of experience in US healthcare claims processing + Familiarity with … more
- DriveTime (Las Vegas, NV)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... 1 million service contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **Responsibilities of the Job (Or Better… more
- Elevance Health (Roanoke, VA)
- **Title: Claims Representative I (Health & Dental) - FEP** **Roanoke, VA** **Location:** This role enables associates to work virtually full-time, with the exception ... AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing...and managers on non-basic issues. Must pass the appropriate pre -employment test battery. **How you will make an impact:**… more
- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals,… more
- General Dynamics Information Technology (Fairfax, VA)
- …independently or as a part of a group + Preferred Qualifications: + Healthcare billing and claims experience + Teaching/training experience + Experience with ... company to external and/or internal customers, supporting Medicaid related claims and billing questions. You will provide assistance and...week to own your priorities at work and at home * Community: Award-winning culture of innovation and a… more
- TEKsystems (Spokane, WA)
- A top Healthcare Provider in the Pacific Northwest is hiring Member Service Representatives representatives to support their team in the Renton and Spokane areas. ... Issues may be health plan related (eg medical coverage, claims , referrals, eligibility) or delivery system issues (eg, appointment...high volume call center experience and having worked from home before + Call center experience ideally be within… more
- HCA Healthcare (Tallahassee, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
- Elevance Health (Plano, TX)
- …Coverage Determination is strongly preferred. + Knowledge of insurance verification, pre -authorization, and claims submission process is strongly preferred. + ... **Referral Specialist I/Patient Access ( Pre & Prior Authorizations, Appeals, Insurance) - Paragon...member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and… more
- Mass Markets (Killeen, TX)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Manage inbound and… more
- Mass Markets (TN)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Listen to customers,… more
- Mass Markets (KS)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more
- Humana (San Juan, PR)
- …**Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's ... and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations, compliance,… more
- Humana (Jackson, MS)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes,...to make an impact** **WORK STYLE:** 100% work at home /remote **WORK HOURS:** Typical business hours are Monday-Friday, 8… more
- Wellpath (Franklin, TN)
- …of care support. **How you make a difference** The Fund Control Specialist performs pre - and post-payment audits of external claims ; ensures that the company ... memberships and product discounts * Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on… more
- Sedgwick (Miami, FL)
- …from our office and your home **Health & support** + Private healthcare plan (including pre -existing conditions) + Life assurance + Employee assistance ... Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy… more
- Humana (Oklahoma City, OK)
- …certifications (Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to make an impact** **WORK STYLE:** Remote, work at home . While this is a remote position, occasional travel… more
- Ada County (Boise, ID)
- …of the following four (4) Work areas: Probate/Guardianship/Conservatorship Unit, Small Claims Unit, Child Protection/Adoption Unit, and/or the General Civil Unit. + ... for customer service support on the phones. + Small Claims Unit: Performs work duties associated with Small ...child Protection cases, Rule L6 Juvenile cases, Out of Home Placement Cases, Surrogacy Cases, and Adoption/Termination Cases. Works… more
- Humana (Columbus, OH)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
