- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …GS-0675 series in VHA must have either (1), (2), or (3) below: (1) Apprentice/ Associate Level Certification through AHIMA or AAPC. (2) Mastery Level ... is consistent with the official guidelines for coding and reporting. Resolve claim edits referred to coding management and monitor reports for outstanding services,… more
- Marshfield Clinic (Marshfield, WI)
- …anatomy & physiology. **Preferred/Optional:** One year experience in claims auditing. **CERTIFICATIONS/LICENSES** _The following licensure(s), certification (s), ... the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:**...Auditor has working knowledge of the overall aspects of claim processing, both in and outside of Security Health… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Humana (Cheyenne, WY)
- …Humana's In Home Well-being Assessment (IHWA) team and take ownership of critical claims operations that ensure compliance and accuracy for Medicare members. As a ... Senior Program Delivery Professional, you'll manage vendor claims processes, monitor compliance, and drive quality improvements. **Key...in Business Administration or a related field + PMP certification a plus + Knowledge and experience in health… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...of CPT, ICD-10, HCPCS coding, and medical terminology. + Associate 's Degree - Associate 's Degree in healthcare… more
- Carle Health (Champaign, IL)
- …development of time saving processes or new features. Qualifications Certifications: Epic Certification within 2 months - EPIC, Education: Associate 's Degree: ... Computer Science; Associate 's Degree: Accounting; Associate 's Degree: Finance; Associate 's Degree: Related Field, Work Experience: Revenue cycle… more
- Capital One (Chesapeake, VA)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of ... to solve customer concerns and provide in-the-moment feedback to ensure the associate is connected to the right resources. **_**Successful candidates will need to… more
- Humana (Helena, MT)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Juneau, AK)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Ochsner Health (Kenner, LA)
- …**Certifications** Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as ... a Medical Assistant (or other medical specialty-based certification ) **Knowledge Skills and Abilities (KSAs)** + Must have computer skills and dexterity required for… more