- APTIM (Santa Fe, NM)
- …reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program ... A minimum of ten (10) years of combined experience in claims /case processing roles including customer service, data entry, reviewing, and evaluating… more
- Robert Half Accountemps (Minneapolis, MN)
- …and benefits administration. Requirements * Minimum of 3 years of experience in medical claims processing or a similar role. * Strong knowledge of unemployment ... contract position, you will play a vital role in processing leave of absence claims , ensuring compliance...vital role in processing leave of absence claims , ensuring compliance with medical certifications, and calculating benefit… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- EquipmentShare (St. Louis, MO)
- …(On call during the weekend only in special circumstances) Primary Responsibilities + Claims Processing : Efficiently process insurance claims from initiation ... years' experience in a customer service role, with prior experience in claims processing or the car rental industry highly desirable. + Skills: Excellent… more
- Robert Half Office Team (Grand Rapids, MI)
- …correctly and paid accurately. Responsibilities: * Accurately input medical, dental, and vision claims into the QuickLink claims processing system. * ... focus on maintaining accuracy and efficiency. The role involves processing medical, dental, and vision claims , requiring...role involves processing medical, dental, and vision claims , requiring precision to ensure claims are… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using a ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
- State of Massachusetts (Boston, MA)
- …providers, community partners, law enforcement, and other state agencies to assist with processing claims * Using case management systems, oversee processing ... directly with individuals seeking services or assistance * Experience in claims processing and/or case tracking preferred * Proven leadership capabilities and… more
- LA Care Health Plan (Los Angeles, CA)
- …all aspects of planning, execution, reporting and corrective action plans monitoring of claims processing compliance for specialty health plans and vendors. This ... Health Plans and vendors. Provides timely and accurate deliverables to ensure claims processing are in compliance with regulatory and contractual requirements… more
- Centene Corporation (Tallahassee, FL)
- …experience with multiple products preferred. Duals product/regulatory knowledge preferred. Claims processing subject matter expertise highly preferred. Pay ... in supporting, managing, and leading strategic projects and initiatives for the Claims functional business unit. This role supports leadership in executing business… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in...valued member of the team. Make Your Mark In Claims Our Claims teams are the proven… more