- Molina Healthcare (Spokane, WA)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- CVS Health (WA)
- …regulations, and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post ... go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience… more
- Molina Healthcare (Vancouver, WA)
- …and test assumptions through data, and leads with contextual knowledge of claims processing , provider contracts, and operational realities. * Creates succinct ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. *...**Required Qualifications** * At least 5 years of business analyst experience in a managed care organization (MCO), and… more
- Highmark Health (Olympia, WA)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription drug data, membership data,… more
- Cognizant (Olympia, WA)
- …for configuration validation, claim analysis, and defect resolution. + Experience with dental claims processing and Coordination of Benefits (COB). + Ability to ... Type: Full-Time** **Job ID: 67014021** **About the role** As a Technical Analyst - Dental Configuration, you will make an impact by designing, developing,… more
- Air National Guard Units (Mcchord AFB, WA)
- …within the Organization. Serves as an information system/network security analyst supporting the Information Assurance Program. Responsible for identifying and ... security of networks. Manages and coordinates the implementation of information processing standards as they relate to system security/Information Assurance. Manages… more
- Air National Guard Units (Fairchild AFB, WA)
- …(finance, personnel, unit commanders, supervisors, and legal) to ensure accurate processing and continuity of care. Builds and maintains strong relations and ... may have been gained as an administrative officer, management analyst , or administrative or clinical program manager or supervisor...or other documentation of proof to support your Educational claims . Additional Information - If you are a male… more
- Public Consulting Group (Olympia, WA)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... + Provides leadership, management, and direction to the Quality Assurance Analyst team. + Leads and manages department providing oversight on operations,… more
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