- 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
- 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
- Molina Healthcare (Ann Arbor, MI)
- …encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** ... Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education**… more
- Centene Corporation (Queens, NY)
- …stakeholders related to operational areas. + Oversee day-to-day operations including claims processing , provider network management, member services, utilization ... Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive digital transformation initiatives… more
- UCLA Health (Los Angeles, CA)
- …Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim ... compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors,… more
- Robert Half Finance & Accounting (Carlisle, PA)
- …operations. This position plays a critical role in optimizing billing, coding, claims processing , insurance verification, and collections to ensure compliance ... * Ensure accurate medical, dental, behavioral health, and vision coding and claims submissions. * Provide strategic direction, foster staff development, and oversee… more
- CareFirst (Baltimore, MD)
- …setup of code sets used for configuration in benefits & pricing for claims processing , claims editing configuration set-up and maintenance. Analyzes ... business requirements and objectives towards determining the optimal configuration of the requirements. Creates complex design documents through the assessment of requirements. Assesses alternatives to different designs and chooses best solution to fit… more