- Health Care Service Corporation (Nashville, TN)
- …technical capacity across many of the sectors including core development on platform, data processing and report generation. The FSE will be working in a team that ... AWS API Gateway. + Experience in Healthcare. + Experience in Healthcare Claim or Enrollment functions. + Experience supporting Medicare technology platforms \#INCR… more
- Robert Half Office Team (Bethel Park, PA)
- …compassionate instructions to patients while collecting insurance information and processing physician orders. * Meet assigned point-of-service goals through ... * Adept at working with insurance verification systems and maintaining clean claim rates. TalentMatch(R) Robert Half is the world's first and largest specialized… more
- The Cigna Group (Los Angeles, CA)
- …will primarily support the Pharmacists and Patient Care Team by processing prescriptions and handling operations tasks and requests. **Responsibilities:** + Manage ... inbound and outbound phone communications. + Document insurance claim rejections accurately. + Process prescription orders, including insurance billing and discount… more
- LA Care Health Plan (Los Angeles, CA)
- …Provides support to the inpatient review team as necessary to ensure timely processing of concurrent reviews. Duties Provides the primary clinical point of contact ... management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis,… more
- Guthrie (Sayre, PA)
- …processes within the health system. This role ensures timely resolution of claim denials, effective appeal strategies, and proactive audit response. The manager ... proficiencies of Microsoft Excel, Word, Project or other spreadsheet and/or word processing software. + Work independently with strong follow-up skills to ensure… more
- City of New York (New York, NY)
- …represent the EAO position to support Commissioner Determinations and at dispute and claim hearings with the Office of the Comptroller. The Director will monitor ... Indicators related to audit of payment requisitions and change order processing and recommend adjustments to staffing, audit plans, training, and/or process/system… more
- US Marine Corps (Jacksonville, FL)
- …statements; conducting preliminary investigations; advising violators of rights; processing accident scene; determining whether facts warrant apprehension/detention ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- City of Reno, NV (Reno, NV)
- …TIP: It may be more efficient to develop your responses in a word processing document and then paste them into the online questionnaire to be submitted Notification: ... determined by a random assignment by computer. A candidate who desires to claim veteran's preference must, at the time of application, submit documentation of… more
- Montana Tech (Butte, MT)
- …data, data driven modeling and prediction, rich media data processing , database systems for analytics, quantitative social science, statistical learning, ... veterans, disabled veterans, and certain eligible relatives of veterans. To claim veteran's preference please complete the employment (veteran's) preference form… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …MINIMUM QUALIFICATIONS: Bachelor's Degree 2 years of experience - hospital billing, processing claim edits, denials, appeals and managing accounts receivable. ... Experience with Epic Resolute Hospital Billing or similar hospital billing systems. In lieu of Bachelor's: 5 years of experience in a lead/supervisory role OR 7+ years of progressive experience in revenue cycle accounts receivable for a large hospital or… more