- Humana (Frankfort, KY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the system) + Minimum of 2… more
- Huron Consulting Group (Chicago, IL)
- …performing test adjudication and reconciling variances. + Partner with Provider Contracting, Claims , Finance, and IT teams to support new contract ... and pricing rules are accurately interpreted and reflected in our claims payment environment. **Key Responsibilities** + Configure and optimize provider pricing… more
- Trinity Health (Boise, ID)
- …are looking to hire a motivated and dynamic **Patient Registration Specialist** to support our team in the **Boise Float Pool!** As a **Patient Registration ... on availability and desire of the colleague. **MINIMUM QUALIFICATIONS** : + Associate degree in Accounting or Business Administration preferred. + Prior work… more
- MetLife (Clarks Summit, PA)
- …Customers Preferred: * Associate Degree * 2 plus years of hands-on claims management experience preferably * 5 plus years of Management * Proficient in Microsoft ... goals and objectives. * Identify, remove, and challenge barriers related to claims management. Escalate to senior leaders in the organization as appropriate along… more
- AmeriHealth Caritas (Charleston, SC)
- …+ Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for payment. + Act as the resource ... of Professional Coders (AAPC) Certified Professional Coder (CPC) required.; + Associate 's Degree or equivalent education and experience preferred. + Required ability… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...covers the duties of receptionist. + Provides backup clerical support to various departments. + Researches, prioritizes, and follows… more
- Walmart (St. Helens, OR)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies;… more
- Zurich NA (Houston, TX)
- …Legal Secretary performs a broad range of administrative and secretarial support for insurance defense attorneys, specializing in General Liability. This position ... our customers, the candidate, and Zurich North America. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it… more
- Otsuka America Pharmaceutical Inc. (Bismarck, ND)
- …and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities ... **Core Content Development** + Under the guidance of the Associate Director, Medical Communications, draft and maintain high-priority, foundational scientific… more