- Dignity Health (Bakersfield, CA)
- …within a managed care or healthcare environment. + Strong knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices + ... **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the...is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This… more
- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION **Job Summary** Provides support for provider claims adjudication activities including responding to providers to address claim issues, and ... researching, investigating and ensuring appropriate resolution of claims . **Essential Job Duties** * Provides support for resolution of provider claims issues,… more
- AIG (Salida, CO)
- …major strategic initiatives. This includes collaboration with other key domains ( Billing /PAS/Front-End/etc.) + Direct solutioning & delivery of Claims systems ... Job Description The Claims System Lead Developer will be responsible for...for designing and implementing new solutions. Fully involved in Claims Systems Transformation program, the Claims System… more
- MyFlorida (Port Charlotte, FL)
- …skilled nursing; or assisted living facility). + Experience with medical finance (medical billing ; claims processing, etc.) + Experience using State of Florida ... software systems: FLAIR; ULTRA Care; SolAce; V-TRACs and MFMP. POSITION DESCRIPTION: The incumbent will assist the Business Office Manager with the following duties: + Performs duties involving the independent application of accounting skills and coordination… more
- Trinity Health (Rensselaer, NY)
- …communication skills, required + Clinical/Healthcare experience, preferred. + EMR and Billing / Claims familiarity, preferred + Detail oriented, excellent follow ... up + Ability to multi-task in a fast paced environment + Must be service oriented, quick learner, team player Pay Range:$22.40-$35.84 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid… more
- CommonSpirit Health (Englewood, CO)
- …understanding of all revenue cycle functions (eg, patient access, coding, billing , claims management, denials, collections). + Healthcare Financial Acumen: ... Ability to interpret financial reports, understand healthcare regulations (eg, CMS releases), and apply financial calculations (discounts, percentages). + Industry Best Practices: Knowledge of leading practices in revenue cycle and the ability to apply them to… more
- Cognizant (Harrisburg, PA)
- …and Java. + Integration:Develop and support integrations with external systems (eg, billing , claims , third-party providers) using web services and APIs. + ... Collaboration:Work with business analysts, solution architects, and QA teams to translate business requirements into technical solutions. + Testing & Debugging:Conduct unit testing, participate in integration testing, debug code, and resolve defects and… more
- Cognizant (Charlotte, NC)
- …systems. * Hands-on experience with DuckCreek, Guidewire, or similar platforms (Policy, Billing , Claims modules preferred). * Experience in platform migration ... and upgrade projects. * Expertise in test automation strategy, framework design, and execution. * Familiarity with automation tools (Selenium, Playwright) and CI/CD integration. * Proven ability to lead teams in onsite-offshore delivery models. * Excellent… more
- The Cigna Group (Franklin, TN)
- …experience with transforming operations + Proven understanding of the customer journey ( claims , onboarding, commissions/ billing ) + Visionary thinker with a ... strategic mindset + Successful experience managing complex initiatives to completion in a highly matrixed organization + Results-oriented with a focus on operational efficiency and high-impact execution + Deep understanding of how operations and technology… more
- Highmark Health (Jackson, MS)
- …within the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing , and customer service. + Proven track ... record of successfully managing complex projects and delivering results on time and within budget. + Strong understanding of the market and competitive landscape. + Excellent communication, interpersonal, and presentation skills. + Demonstrated ability to… more