- Ardon (Portland, OR)
- …be able to accurately utilize applicable computer software and equipment for pharmacy claims processing . Working conditions Work is performed primarily at a ... Responsible for application tasks, including but not limited to: Processing incoming documents Maintaining patient records Loading insurance information Performing… more
- Covenant Health Inc. (Knoxville, TN)
- …and billing edits. + Maintains knowledge and understanding of CMS NCCI Policies, Claims Processing Manual, CPT coding, and modifiers to ensure compliance with ... determining corrections, investigating cause, and leading actions to resolve claim processing issues. Uses CMS resources and source documentation as a compliance… more
- Robert Half Finance & Accounting (Plainview, NY)
- …Requirements * At least five years of experience in medical billing and claims processing . * Proficiency in Medicaid billing and accounts receivable management. ... role requires a detail-oriented individual with expertise in medical billing and claims , particularly in Medicaid and accounts receivable. The ideal candidate will… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data… more
- Robert Half Accountemps (Loveland, CO)
- …will be responsible for managing essential billing operations, ensuring accuracy in claims processing , and contributing to the efficiency of healthcare ... in a collaborative and fast-paced environment. Responsibilities: * Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines. *… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): * Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... team. Cross-Functional Collaboration * Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address… more
- Elevance Health (Indianapolis, IN)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and customer service and 2 years COB experience that required using ... to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in… more
- Robert Half Accountemps (Hampton, VA)
- …in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare ... * Proven experience or eagerness to learn medical billing, coding, and claims processing . * Familiarity with medical terminology and coding systems. * Ability to… more
- Cognizant (Owings Mills, MD)
- …types, service tiers, and penalty configurations to support healthcare products and claims processing . . Gather and analyze business requirements for benefit ... tiers, penalties). . Strong understanding of healthcare administration, benefit design, and claims processing workflows. . Proficiency in Facets modules such as… more
- Amentum (Washington, DC)
- …Expected duties may include the following: + Scan and copy incoming materials related to claims processing . + Data entry from paper document into the database. + ... Technicians to assist with the the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Document Management Technician role is crucial in ensuring… more