- Cedars-Sinai (CA)
- …in applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial products and provider ... claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is… more
- Elevance Health (Boston, MA)
- …I :** Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide ... ** Claims Auditor I, II and Senior** **Location :**...or GED and a minimum of 5 years of claims processing experience including a minimum of...a minimum of 5 years of claims processing experience including a minimum of 1 year related… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB ... Prior experience in a high-volume processing setting (ie, doctor's office, claims processing department, etc.) a plus. + Will be trained to support programs,… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is responsible for claims processing , research and adjudication to correctly apply benefit determination and pricing for ... Rx-drug claims (CMS 1500 and UB04), in accordance with claims processing guidelines. **ESSENTIAL FUNCTIONS OF THE ROLE** Processes and adjusts professional… more
- Ford Motor Company (Livonia, MI)
- …PSMAC, both virtually and in person. **What you'll do ** + Manage and own the Claims Processing and support teams + The Claims Team are Schneider Logistics ... personnel US based + Serve as the Subject Matter Expert (SME) for claims administration and processing + Administer dealer claims for US Dealers + Lead… more
- Molina Healthcare (Albany, NY)
- …of incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors. **Essential Job Duties** + Audits the ... leadership for improvements based on audit results. + Reviews timeliness of claims processing to ensure compliance with contractual and state/federal… more
- Molina Healthcare (Boise, ID)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client. **NOTE** : This is a US ... fee schedule **Requirements:** + 3 year(s) hands-on experience in **Healthcare Claims Processing ** + **In-depth, hands-on, practiced experience processing… more
- NTT DATA North America (Chicago, IL)
- …our technology team to identify patterns and opportunities for automation + Share claims processing expertise with team members and contribute to knowledge base ... our AI systems + Participate in the continuous improvement of our claims processing workflows + Break down complex decision-making into clear, logical steps that… more
- US Tech Solutions (Myrtle Beach, SC)
- …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... Type** : High School Diploma or equivalent + **Required Work Experience:** Experience processing , researching and adjudicating claims + **Experience:** 1 year of… more