- VetsEZ (GA)
- …citizenship required). Preferred Experience: + Prior experience in care coordination, claims processing , or patient engagement systems. + Practical experience ... develop, test, and operationalize AI-driven product ideas-such as automated claims triage, intelligent document processing , and conversational assistants-into… more
- Molina Healthcare (Rio Rancho, NM)
- …Networx. + Experience with QNXT is preferred. + Advanced experience using a claims processing system. + Advanced experienced verifying documentation related to ... updates/changes within a claims processing system. + Advanced experience validating and confirming information related to provider contracting, network… more
- Molina Healthcare (St. Petersburg, FL)
- …combination of relevant education and experience. * Advanced experience using a claims processing system. * Advanced experienced verifying documentation related ... to updates/changes within a claims processing system. * Advanced experience validating and confirming information related to provider contracting, network… more
- Healthfirst (NY)
- …to senior staff. + Complete subsequent auditing and handling of specific claims and appeal requests including processing where applicable, tracking, documenting, ... + Conduct moderately complex to complex quality audits of provider claims , pre-payments and post-payments including high-dollar and specialized claims … more
- SSM Health (MO)
- …+ Processes the insurance component of a patient's obligation using the third party claims processing and payment rules. Bills claims appropriately. + ... Duties may include one or more of the following: processing insurance payments, following up on denied claims... processing insurance payments, following up on denied claims , and resolving credit balances. Typically works in no… more
- AmeriHealth Caritas (Manchester, NH)
- …New Hampshire (NH) location. **Responsibilities:** + Reviewing and auditing provider billing, claims processing and accuracy. + Develops the Pricing Agreement ... cause analysis skills are required. + Ability to focus on technical claims processing and Provider data maintenance knowledge. + Understanding of and experience… more
- Insight Global (Pawtucket, RI)
- …and Requirements -Medical Billing or Pro Fee billing Experience -Familiarity with claims processing or CPC certification -Onsite Requirement: Must work hybrid ... other departments to ensure accurate billing information. *Payment Processing : Processing and posting payments received. *Insurance Claims : Assisting in the… more
- Robert Half Accountemps (Tampa, FL)
- …extra follow-up tasks when required. Requirements * Previous experience in insurance, claims processing , or customer service is preferred. * Demonstrated ability ... with funeral homes and insurance representatives while ensuring timely document processing . As a contract position with potential for long-term collaboration, it… more
- MyFlorida (Tallahassee, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans...and obtain information in order to prepare and submit claims for any / all federal and state benefits… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Management, Case Management and operational procedures, Medical and Payment policies, claims processing , insurance and regulatory requirements, billing and ... a wide variety of stake holders to analyze high-cost claims and members, evaluate clinical trends, and formulate business...with various business units including teams across HMM, Sales, Claims Operations, Finance, and Legal. * This position is… more