- Datavant (San Juan, PR)
- …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
- AON (Fort Washington, PA)
- …day will look like: + This position is accountable for oversight and processing of beneficiary changes, assignment of benefits, and life insurance and disability ... claims submissions for the Insurance Trust. + A key...written correspondence + Identify customer issues requiring new business processing , increase in coverage and/or transfer issues that require… more
- Sedgwick (Tampa, FL)
- …service in medical field preferred. Workers compensation, disability and/or liability claims processing experience preferred. **Skills & Knowledge** + Knowledge ... and triage as necessary. + Enters demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary… more
- HCA Healthcare (San Antonio, TX)
- …assigned) - Collaborate 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 - Assist Patient Safety Director… more
- Centene Corporation (Frankfort, KY)
- …best practice and quality standards. + Applies a comprehensive knowledge of claims processing , provider customer service and payment knowledge to escalated ... SalesForce, and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred **Licenses and… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
- Northwell Health (Lake Success, 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
- Robert Half Accountemps (Kansas City, MO)
- …billing and coding within a healthcare setting. * Strong knowledge of medical claims processing and collections procedures. * Proficiency in medical coding ... contract role, you will play a vital part in managing and processing medical claims , ensuring accurate billing, and supporting efficient revenue cycles. This is… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …teams. . Provide subject matter expertise (SME) on payer workflows such as claims processing , member onboarding, provider data management, care management, and ... (https://youtu.be/YSXgCJSXL44) By playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube)… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
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