- Conduent (Honolulu, HI)
- …Transaction Processing Associate II, you will be responsible for:** + Perform data-entry and adjudication of Medicaid Claims data in the company systems + Verify ... and process insurance claims + Ensure accuracy, completeness and compliance with company...and company policies and guidelines + Experience in medical claims data-entry or similar a plus + Able to… more
- Banner Health (Mesa, AZ)
- …degree in related field preferred. Proficiency and experience with third party claims adjudication and claims rejection reconciliation preferred. Proficiency ... and experience with non-sterile, sterile and hazardous drug compounding preferred. Work experience which demonstrates analytical ability, judgment and interpersonal skills in pharmacy or healthcare preferred. Experience and proficiency with computer software… more
- ManpowerGroup (Houston, TX)
- …configuration of the system for provider contracts, benefits and fee schedules Claims adjudication experience (preferred) Skilled in using technology to provide/ ... experience Business Operations and Leadership Epic Certifications and Experience Claims , Contracts, Benefits (preferred) Demonstrated configuration experience in contracts,… more
- Billings Clinic (Billings, MT)
- …of medical insurance claims experience through patient accounts billing or claims adjudication Billings Clinic is Montana's largest health system serving ... Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice,… more
- St. Luke's Health System (Boise, ID)
- …under the pharmacy benefits. + Facilitate resolutions to issues involving claims adjudication , member concerns, and provider communications. + Addresses ... and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy… more
- Queen's Health System (Honolulu, HI)
- …maintenance, claims submission and follow-up, payment posting, collections, claims adjudication , third party payer contracts, government reimbursement and ... policies, compliance, net revenue and/or profitability analyses, preferably in an acute care facility. * Experience in a lead or supervisory role. * Experience to demonstrate the following: o Working knowledge of CPT/HCPCS and revenue code assignment and ICD-9… more
- CenterWell (Savannah, GA)
- …Keeps filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct ... pharmacy claims rejections if appropriate. . Other duties as assigned and modified at manager's discretion. **Use your skills to make an impact** **Required… more
- ChenMed (Berwyn, IL)
- …Keeps filing system updated for multiple procedures/processes. + Assists with pharmacy claims adjudication including calling insurances to assess and correct ... pharmacy claims rejections if appropriate. + Other duties as assigned and modified at manager's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of… more
- InGenesis (Columbia, SC)
- …in data collection/input into system for clinical information flow and proper claims adjudication * Perform other duties as assigned. Minimum Qualifications ... criteria and assess and monitor medical necessity using your clinical proficiency and claims knowledge. This is a REMOTE opportunity for candidates living in the… more
- Billings Clinic (Billings, MT)
- …a neat and organized condition. * Processes complete prescription claims including proper adjudication /reconciliation, insurance verification, prior ... claims billing. * Enters medication charges and credits for the adjudication /reconciliation of patient accounts and insurance claims billing. * Participates… more