- Molina Healthcare (ID)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... 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… more
- BrightSpring Health Services (Nashville, TN)
- …and/or Collections in a large healthcare provider setting or a Medical Claims Processing organization. + Proven experience in successfully leading revenue ... Sr Director's responsibilities include identifying reimbursement issues, ensuring that claims , denials, and appeals are efficiently processed, and resolving… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …Experience:7+ years relevant professional level experience in a claims processing environment.Preferred Experience:Experience working in an ... Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... departments as needed + Accurately document customer interactions and process claims + Follow all client-specific procedures, scripts, and compliance requirements +… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more
- Bristol Myers Squibb (Princeton, NJ)
- …develops standards and expectations for teams outside of the 340B COE (eg, claims processing ) ensuring teams are properly trained and execute 340B-related ... Excellence (COE) including program integrity activities, covered entity eligibility processing , and development of supporting analytics and reporting. This position… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... personalized solutions. + Use internal systems to manage accounts and process claims accurately. + Follow established scripts, policies, and procedures to ensure… more
- Mass Markets (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... systems to support customer needs + Accurately document interactions and process claims in internal systems + Engage customers in solution-focused conversations to… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... other departments as needed + Accurately document customer interactions and process claims + Conduct needs-based conversations to identify the best solutions for… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... systems to support customer needs + Accurately document customer interactions and process claims + Guide customers through options to find the best solutions + Use… more
Recent Jobs
-
Screw Machine Set-up Tech - Limited Duration
- Astronics (Clackamas, OR)