- NTT DATA North America (MO)
- … systems , and learn new software tools + 1+ years of working with Claims Adjudication Systems + High School diploma or equivalent **Preference** + Ability to ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...be responsible for:** + Processing of Professional and Hospital claim forms files by provider + Reviewing the policies… more
- Elevance Health (Cincinnati, OH)
- … Claims Train data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims Payment Extract and ... **Business Architect Sr. - Government Claims ** **Location:** This role requires associates to be...Care and other provider-based root-cause investigations leveraging intimate provider system and business process knowledge to audit system… more
- Kemper (Henderson, NV)
- …deal with conflict in an effective manner. + Proficient in MS Office + Experience with Guidewire claims system is a plus + This is a hybrid role reporting to the ... negotiation skills? Kemper is looking for experienced Attorney Represented Bodily Injury Claims Adjusters for our growing teams! This position will be reporting to… more
- First Horizon Bank (Maryville, TN)
- …maps, and functional specifications. + Support the design and rollout of new fraud claims systems and enhancements to existing platforms. + Participate in UAT ... stakeholders to identify needs, pain points, and project objectives related to fraud claims . + Analyze current state workflows and systems , propose enhancements,… more
- CVS Health (Monroeville, PA)
- …area, has an opportunity available for a full time Pharmacy Claims Biller/Adjustment Specialist. As a Biller/Adjustment Specialist, you will ensure timely ... and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. You will… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely (Days, M- ... to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works...via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare… more
- TEKsystems (Moorestown, NJ)
- …tools mainly with Excel (Power BI, Tableau) is a plus Familiarity with TPA operations or claims systems is a plus Job Type & Location This is a Contract to ... projects, working independently to meet deadlines Skills Data analysis, SQL, Data, Claim , excel analysis, excel pivot tables, Insurance Claims Analysis, VLOOKUP,… more
- NTT DATA North America (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX for a remote position** . ... through NTT DATA only. **Role Responsibilities** -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …including basic analysis of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim accuracy and/or identify ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- NTT DATA North America (Plano, TX)
- …part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **Note** : This ... NTT DATA only. **Role Responsibilities** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more