- Molina Healthcare (Spokane, WA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Rush University Medical Center (Chicago, IL)
- …overseeing the administrative functions of Rush Legal, Office of Risk and Claims management and ensuring coordination of other administrative tasks across all ... all external counsel defense spend to ensure compliance with billing guidelines as well as internal monitoring and submission...needed. + Assists with any and all reporting of claims via the loss run. + Responds to … more
- Sedgwick (Greensboro, NC)
- …or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education ... industry experience preferred. **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance… more
- Robert Half Finance & Accounting (Fort Worth, TX)
- …skills to ensure the accurate and timely management of insurance claims . The successful candidate will collaborate with insurance providers, patients, and ... regulations and industry standards. * Work closely with the billing department to accurately process payments and insurance remittances....* Resolve issues related to denied or underpaid insurance claims in a prompt and efficient manner. * Stay… more
- Affordable Care (New Pt Richey, FL)
- …patient check-in/out, discussing treatment and financial arrangements, and managing insurance billing to ensure timely, accurate claims and maximum ... coordination. + Collect and process payments; handle insurance verification, claims , and financial arrangements. + Maintain patient confidentiality and ensure… more
- Family and Children's Association (Mineola, NY)
- …plans and the management of employee leaves of absence, workers' compensation claims , unemployment insurance, and short-term disability claims . This role also ... plan. + Conduct monthly enrollment meetings, enroll and terminate employees, process billing and payroll changes, and maintain the online benefits portal. + Perform… more
- Norstella (Lincoln, NE)
- …4+ years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) * Advanced ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...* Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- Select Medical (Camp Hill, PA)
- …Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an exceptional ... a member of the Account Receivables team, you will resolve unpaid insurance claims balances accurately. You will independently work towards daily goals with the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks ... (COC) preferred + Proficiency in working with and analyzing claims data + Strong written and verbal communication skills...CPT/HCPCS & ICD10 coding, Correct Coding Initiatives and UB04 billing + Strong critical thinking & problem-solving skills +… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... of all Contractor Safety Incentive Programs, monitors costs, ensures services and billing are adequate and in compliance with Contractors (broker) Agreements. +… more