- AmeriHealth Caritas (Newtown Square, PA)
- …financial reporting and related financial analysis experience. + Basic understanding of Claims Processing / Clinical Coding and business practices. + Basic ... required. + 1 to 3 years knowledge of medical billing ICD-10, CPT DRG claims coding Revenue Code Mapping, Data Analysis, Data warehousing, translated 5010 EDI files,… more
- Stanford Health Care (Palo Alto, CA)
- …codes to individual patient health information for data retrieval, analysis and claims processing . Works closely with departments to optimize reimbursement, ... are submitted timely. + Utilizes correct coding practices to file clean claims aiding in improved cash flow. **Education Qualifications** + Associate's degree in… more
- St Croix Hospice (Mendota Heights, MN)
- …or home health. + 10+ years of hands-on experience with Medicare billing, claims processing , and collections. + Strong knowledge of Medicare hospice ... billing for hospice care, including timely submission and correction of claims . + Collaborate with clinical, financial, and operational leadership to address… more
- Highmark Health (Montpelier, VT)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- Army National Guard Units (Phoenix, AZ)
- …to brief Guard members and their families on available entitlements, VA disability claims processing , benefits, and information resources in the mobilization and ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- Envita Medical Center (Scottsdale, AZ)
- …+ Contribute to the setup and management of billing systems for efficient claims processing . + Ensure the division adheres to telehealth legal standards. ... integrating e-prescribing capabilities. Experience in the billing process, especially claims submission to clearinghouses, would be highly beneficial. This… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …copay assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge 'white ... of call center needs with expertise in insurance verification and claims + Ability to effectively evaluate performance, resolve complaints, ensure appropriate… more
- Two95 International Inc. (Omaha, NE)
- …Good SQL skills. * Knowledge of healthcare insurance industry including Enrollment, Billing, Claims Processing , EDI required. * Candidate has to explain the ... * Medical Insurance processes such as: Providers processes, Enrollment processes & Claims * Regression test scenarios design and creation creation * Backend data… more
- Panasonic Avionics Corporation (Irvine, CA)
- …Primary contact to internal and external customers for resolving issues, requests, claims processing and communications related to warranty. Liaison to Ramco ... customers on all matters pertaining to warranty. . Handles most complex warranty claims , issues, requests. . Manage ERP tables related to repair service life cycle,… more
- ManpowerGroup (Tempe, AZ)
- …AI, data science, and product teams to evaluate AI models used in underwriting, claims processing , risk assessment, and pricing. + Identify gaps, biases, and ... + 7+ years of experience in the insurance industry, including underwriting, claims , risk modeling, or product management. + Strong understanding of insurance… more