- Brown County (New Ulm, MN)
- Job Duties Process fiscal transactions, track and analyze time reporting, claims processing and vendor payments. Provide assistance to staff in a variety of ... of all client information files in all software programs. Responsible for monthly claims processing for State and Federal reimbursement of Social Worker case… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …journey optimization covering: onboarding, network management, utilization management interaction, claims processing , quality reporting, and value-based care ... Adoption** + Lead enterprise AI strategy identifying high-value use cases: claims processing automation, prior authorization optimization, care gap… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …maintain effective working relationships with client contacts. + Perform advanced claims processing , including professional, facility, and ancillary claims ... + Proficient in computer systems with high technical aptitude. + Advanced claims processing expertise preferred but can be trained + Strong understanding of the… more
- Geisinger (Danville, PA)
- …position provides daily support for coding and reimbursement needs across negotiations, claims processing , and provider setup. A minimum of one certification ... + Determines appropriateness of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment… more
- Sunrise Senior Living (Mclean, VA)
- …with third-party outsourced vendors preferred. + Solid understanding of workers compensation claims processing . + Proven ability to provide excellent customer ... and bi-weekly basis. + Review payroll output post payroll processing to ensure proper processing of payroll...and filings per state requirements. + Complete Workers Compensation claims as dictated by state Laws. + Correspond electronically… more
- Centene Corporation (Frankfort, KY)
- …best practice and quality standards. + Applies a comprehensive knowledge of claims processing , provider customer service and payment knowledge to escalated ... SalesForce, and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred **Licenses and… more
- MyFlorida (Largo, FL)
- …portals and websites. The Accountant IV incumbent is responsible for performing claims processing , posting payments and collection activities of the State ... year of experience in medical billing (billing third-party health insurance) and processing electronic claims . + Experience in accounts receivables and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …must possess a comprehensive knowledge of technical and workflow process components of claims processing .All auditors must attend ongoing training as needed and ... policy outlines. The auditor will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all claims to… more
- Northwell Health (Lake Success, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more
- Robert Half Accountemps (Kansas City, MO)
- …billing and coding within a healthcare setting. * Strong knowledge of medical claims processing and collections procedures. * Proficiency in medical coding ... contract role, you will play a vital part in managing and processing medical claims , ensuring accurate billing, and supporting efficient revenue cycles. This is… more
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