- NTT DATA North America (TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... role include:** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with Windows… more
- NTT DATA North America (TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... role include:** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with Windows… more
- MSys Inc. (Richmond, VA)
- …C#/Angular/SQL Server. Candidates must describe experience with large menu driven business systems , such as claims processing, payroll, medical, or insurance ... Server. 3 Years + Experience with large menu driven business systems , such as claims processing, payroll, medical, or insurance type applications. (See Req… more
- Aston Carter (Nashville, TN)
- … claim management role, with experience using case management systems , reviewing cases for eligibility, determining the appropriate leave and/or disability ... pay benefits that apply to a specific situation, and establishing/executing a case management plan. + Knowledge of US federal and state leave and disability laws. + Previous HR experience. + Bachelor's degree or advanced college education in a related field… more
- Trinity Health (Davenport, IA)
- …of corrections regarding discrepancies, outstanding items and exceptions in appropriate system (s). Tracks data on payment activity and related findings for ... one (1) year of experience and relevant knowledge of revenue cycle functions and systems within the banking industry or a hospital or clinic environment, a health… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of ... such as DART, MAP, OCSS, OLA, OTDA, NYS Dept. of Health, DARB, MIS, AO- Systems , BFI, ACS, Dept. of Correction, Fair Hearing, Food and Nutrition Services (FNS) and… more
- Insight Global (Virginia Beach, VA)
- …projects and helping to finalize implementations for medical plans and looking in system for inconsistencies. They will be sending out files and receiving back error ... - Experience with Power BI -a very analytical thinker -experience with claims , benefits, or enrollment -EDI 834/837 experience -Edifecs experience -Strong Excel… more
- Albany Medical Center (Albany, NY)
- …for securing revenue for services provided by hospital of Albany Med Health System by competing appeals, phone calls, and account review. Qualifications: High school ... preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, and… more
- Cedars-Sinai (Los Angeles, CA)
- …Board Company's Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an ... innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai… more
- Waystar (Atlanta, GA)
- …environment + Working closely with internal and external resources to define system requirements that meet changing market needs and ensure customer satisfaction and ... is trusted by 1M+ providers, 1K+ hospitals and health systems , and is connected to over 5K commercial and...Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans.… more
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