- Robert Half Finance & Accounting (Colorado Springs, CO)
- …In this role, you will play a vital part in maintaining accurate records, processing claims , and ensuring timely communication with insurers and patients. This ... apply current coding and billing practices to resolve issues. * Manage claim rejections through third-party clearinghouses, ensuring timely processing . * Post… more
- Molina Healthcare (Houston, TX)
- …and test assumptions through data, and leads with contextual knowledge of claims processing , provider contracts, and operational realities. * Creates succinct ... all payment integrity (PI) solutions. * Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial… more
- Hartford HealthCare (Farmington, CT)
- …they pertain to billing processes and procedures . Knowledge of insurance claim processing and third-party reimbursement . Knowledge and detailed understanding ... efforts to review and resolve issues related to insurance claim denials, no response claims and payment...related to insurance claim denials, no response claims and payment variances including underpayments and overpayments. Averages… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors.… more
- Molina Healthcare (Rio Rancho, NM)
- …Networx. + Experience with QNXT is preferred. + Advanced experience using a claims processing system. + Advanced experienced verifying documentation related to ... * Applies experience and knowledge to research and resolve claim /encounter issues and pended claims , and updates...updates/changes within a claims processing system. + Advanced experience validating… more
- Molina Healthcare (St. Petersburg, FL)
- …combination of relevant education and experience. * Advanced experience using a claims processing system. * Advanced experienced verifying documentation related ... * Applies experience and knowledge to research and resolve claim /encounter issues and pended claims , and updates...to updates/changes within a claims processing system. * Advanced experience validating… more
- Elevance Health (Lake Mary, FL)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and customer service and 2 years COB experience that required using ... provided to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as… more
- Zurich NA (Schaumburg, IL)
- …+ Knowledge of reinsurance claim recoverable process and link to direct claim processing + Prior experience to include a combination of accounting, ... of assumed reinsurance transactions and partnering across finance, actuarial, underwriting, claims and global reinsurance teams. This position is based in… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …Health Division is responsible for supporting the billing and revenue cycle by processing medical claims to third-party payers. This position involves verifying ... patient insurance details, assisting in the preparation and submission of claims , and helping to ensure timely payments. The Specialist will maintain accurate… more
- MyFlorida (Tallahassee, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. Other vacant positions… more