- Freeport-McMoRan (Bayard, NM)
- …loss prevention and rehabilitation management/monitoring programs, maintain files, and provide necessary support in defense of claims . + Perform other duties as ... and five (5) years of experience in Health & Safety or related, **OR** + Associate 's degree **and** three (3) years of experience in Health & Safety or related,… more
- LA Care Health Plan (Los Angeles, CA)
- …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Applied ... to develop models and algorithms that power key functions such as claims accuracy, care coordination, quality improvement, and fraud detection. This position is… more
- Dentsply Sirona (Pensacola, FL)
- …care or revenue opportunity.** + **Partners with internal teams to support patient retention, reorder patterns, and long-term utilization of urology solutions.** ... School Diploma or equivalent** + **Preferred: Certified Medical Assistant (CMA) or Associate 's degree in Healthcare Administration, Business, or a related field** +… more
- University of Southern California (Los Angeles, CA)
- …and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete ... Oracle's Soarian Financials (SF) and CHC Assurance sufficiently to ensure claims drop timely with appropriate diagnosis/procedure codes. Performs other coding… more
- Koniag Government Services (Wolf Point, MT)
- …LLC, a Koniag Government Services company, is seeking a Benefit Coordinator I to support KABS and our government customer at Wolf Point, MT. This position requires ... eligibility, assists with enrollment processes, and follows up on pending claims to ensure timely resolution. **Essential Functions, Responsibilities & Duties may… more
- MAPFRE Insurance (Webster, MA)
- …thought leadership to internal teams and agency partners. + **Mentor Future Leaders:** Support the development of Asst. TSMs by sharing best practices and fostering ... + **Collaborate Cross-Functionally:** Work closely with Underwriting, Marketing, Services, and Claims teams to ensure seamless execution. + **Stay Ahead:** Maintain… more
- Prime Therapeutics (Helena, MT)
- …for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative ... and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines + Act… more
- Elevance Health (South Portland, ME)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more
- Carle Health (Champaign, IL)
- …response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration ... (CPC) - American Academy of Professional Coders (AAPC); Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA); Certified… more