- Ellis Medicine (Schenectady, NY)
- …not limited to Microsoft Windows, Excel and Word. Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred + Minimum of five years ... planning, organization, and evaluation elements of the Patient Demographic capture and system set up + Designs quality management monitors and workload measurement … more
- Robert Half Accountemps (Fayetteville, NC)
- …with healthcare billing standards. Responsibilities: * Process and submit accurate medical claims to insurance providers in a timely manner. * Verify patient billing ... and ensure adherence to regulatory guidelines. * Investigate and resolve claim discrepancies or denials to ensure proper reimbursement. * Maintain detailed… more
- Polaris Industries (Medina, MN)
- …us to THINK OUTSIDE.** **Job Summary** Support and facilitate the safety claim process for Post Sales Surveillance (PSS), including case creation, gathering ... expected to support continuous improvements efforts in relation to the safety claim process. **Responsibilities** + Communicate with dealers & customers to gather… more
- LA Care Health Plan (Los Angeles, CA)
- …to claims processing. Knowledge of SDLC procedures in planning system configuration changes (ie, use of rigorous documentation, testing and quality assurance ... Director, Configuration Job Category: Management/Executive Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Sedgwick (Dayton, OH)
- …loss, and/or costs. + Consults with and advises underwriting, marketing, agents and claims regarding system evaluation results and trends. + Provides on-site ... stays may be required. **PRIMARY PURPOSE** **:** To provide system , infrastructure, software, data/records evaluations, and consultative services for public… more
- National Vision (Lawrenceville, GA)
- …infrastructure for managed vision care plans, focusing on point-of-sale calculation, claim submission, payment posting, and reconciliation accuracy. + Set up and ... calculations of customer responsibility and insurance payments in the point of sale system . + Utilize EDI platforms to transmit and receive healthcare claims ,… more
- Enterprise Mobility (Madison, WI)
- …Management System (ARMS(R)) software by increasing efficiency throughout the claims process. **WHAT WE OFFER** We are a teleworking-first organization with work ... moment after an accident to the completion of the claim . We create an integrated software platform that enables...Bachelor's Degree (or higher) in Computer Science, Computer Information Systems (CIS), Management Information Systems (MIS), or… more
- Point32Health (Canton, MA)
- …. **Job Summary** The Director of Configuration and Operations of the claim adjudication systems . drives configuration strategy and execution, ensuring accurate ... setup of claims adjudication, products, benefits, payment processes and automation of...Leads high-performing teams and oversees vendor partnerships to optimize system capabilities and deliver enhancements aligned with organizational goals.… more
- Superior Ambulance Service (Elmhurst, IL)
- …Onboarding new staff + Assuring Medicare/Medicaid requirements are met by staff working claims by revising and creating policies for employees to follow + Assuring ... and ongoing issues + Create and maintain a farming system of growth for staff into higher acuity roles,...the accurate and timely follow up of accounts including claim submission, verification, denials, and adjustments to customer accounts… more
- CVS Health (Oklahoma City, OK)
- …high profile providers and/or groups (ie local, individual providers, small groups/ systems ) to establish, oversee, and maintain positive relationships by assisting ... regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes… more
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