- Humana (Jackson, MS)
- …cost reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment for appropriate CPT/ HCPCS ... cost reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment for appropriate CPT/ HCPCS… more
- Northwest Florida Community Hospital (Chipley, FL)
- …functions, capabilities and operation of computer-based billing and patient accounts management systems , including but not limited to CPSI (EHR), Quadax or similar ... and operation of computer-based registration, billing and patient accounts management systems . Requires sufficient knowledge in the use of basic computer software.… more
- Unum Group (Portland, ME)
- …work experience + Demonstrates computer literacy and/or working knowledge of various claim systems (ie, BAS, Colonial & NaviLink) + Solid mathematical, ... complexity, demonstrating a solid technical ability necessary to administer overpayment claims across multiple products and system applications. + Negotiates… more
- Queen's Health System (Honolulu, HI)
- …health plans and other third party payor requirements. * Ensures accurate claims submission to optimize revenue for the Medical Center. II. TYPICAL PHYSICAL ... desirable. B. EXPERIENCE: * One (1) year experience in medical insurance claims processing or billing. An Associate's or Bachelor's degree in business… more
- Naval Sea Systems Command (Dahlgren, VA)
- …respond to this flyer. Responsibilities You will be working advanced combat system integration technical activities. You will apply systems engineering, ... efforts for the areas of capability upgrades into combat systems such as AEGIS, LCS, DOG 1000, and SSDS....academia and across departments to lead, develop and oversee system engineering efforts. You will provide programmatic support to… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR SYSTEMS ADMINISTRATOR (NAUT): Bowhead seeks a Senior Systems Administrator to support our customer on the Nautical contract in the Arlington, ... using tools such as Terraform, or ARM templates + Monitor cloud system performance, availability, and security posture using enterprise monitoring tools + Configure… more
- Elevance Health (Lake Mary, FL)
- …them against the member/groups benefits. + Updates all of the company's membership system components with investigation results for claim coordination. + Ensures ... provided to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as… more
- Insight Global (Washington, DC)
- …with a strong quantitative analysis background and hands on experience in risk or claims analysis. The ideal candidate will have claim scoring experience in some ... capacity (insurance, medical, manufacturing, etc.) They will be leveraging a claims scoring system that they have developed and working on statistical models on … more
- Elevance Health (Lake Mary, FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + ...required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops and… more
- Zurich NA (Schaumburg, IL)
- …and take corrective actions as directed. Update financial and underwriting and/or claim systems , accordingly + General Ledger account reconciliations and ... of assumed reinsurance transactions and partnering across finance, actuarial, underwriting, claims and global reinsurance teams. This position is based in… more