- Datavant (Harrisburg, PA)
- …resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing .** **What You Will Do:** + Review medical records and ... and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim… more
- State of Colorado (Denver, CO)
- …personnel rules and statute interpretation, employee counseling, leave administration, processing workers' compensation, short-term disability claims and ... system, arranging and prioritizing the work in accordance with preset deadlines for processing of payroll and benefits set by the State's Central Payroll and Central… more
- TXNM Energy (Albuquerque, NM)
- …eyes of our customers by providing engaging supervision in Revenue Processing , Revenue Assurance and Revenue Support activities. Establishes measurable metrics for ... customer experience billing system through accurate and timely revenue processing . ESSENTIAL DUTIES AND RESPONSIBILITIES: Supervises the Revenue Operations groups,… more
- General Dynamics Information Technology (Fairfax, VA)
- …to transform the Veterans Benefits Administration (VBA) with greater visibility into claims processing . Together, we're building a future of fast, transparent ... skills to resolve challenging issues related to resolving incorrect processing of pension claims + Knowledge and...related to resolving incorrect processing of pension claims + Knowledge and experience in government contracting and… more
- HCA Healthcare (Denver, CO)
- …otherwise assigned) . Work with defense legal counsel to coordinate the investigation, processing and defense of claims against the facility; records, collects, ... to defense attorneys any requested information and documents necessary manage facility claims while maintaining privilege of PSWP . Notify and interact with HCI… more
- Highmark Health (Pittsburgh, PA)
- …issues related to supported technology. Manage utilization review, translation of foreign claims , coordination of benefits (COB), and processing of claims ... employees. **GENERAL OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the… more
- Molina Healthcare (Ann Arbor, MI)
- …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... etc.) + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to use MS Excel/Access platforms working… more
- Robert Half Accountemps (Lynwood, CA)
- …play a crucial role in managing billing operations, ensuring accuracy in claims processing , and maintaining compliance with organizational standards. This is ... software tools. Requirements * Proven experience in medical billing and claims processing . * Proficiency in using CareLogic and other electronic health record… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary). + Strength in one ... tools such as MicroStrategy, PowerBI, etc + Experience in processing , analyzing, and synthesizing various data sources (syndicated, specialty...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- FlexStaff (New York, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more