- McLaren Health Care (Flint, MI)
- …+ Two(2)years'experienceandknowledgeof HMO,orPPO(eg accounting/finance, reinsurance, regulatory compliance, claims ... processing , membership/eligibility, actuarial precepts). more
- Travelers Insurance Company (St. Paul, MN)
- …powering every facet of our business-from underwriting and policy documentation to claims processing . This content represents not just operational necessity, but ... a strategic asset poised to fuel AI innovation, revolutionize user experiences, and unlock unprecedented business value. This is a transformational leadership role where you'll collaborate with technology and business leaders organization-wide to consolidate… more
- State of Georgia (Decatur, GA)
- …and identifies budget variances + Performs routine accounting, clerical, billing, and/or claims processing duties for assigned accounts Responds to inquiries to ... solve routine accounting problems + Prepares requested materials for audits of financial data or records + Processes or records financial transactions such as accounts payable and receivable, payroll, invoices, or requisitions in a ledger or computer system +… more
- Kelly Services (Eagan, MN)
- …treatment recommendations, diagnosis codes, and doctor's orders, to ensure timely claims processing and therapy approvals + Overseeing administrative operations, ... including filing, inventory management, therapist productivity tracking, and purchasing/restocking supplies + Managing end-of-day responsibilities such as cleaning tasks, securing the facility, and boosting team morale through workplace initiatives **Essential… more
- Rush University Medical Center (Oak Park, IL)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting, or ... customer service. * Knowledge of insurance and governmental programs, regulations, and billing processes eg, Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of… more
- 32BJ Benefit Funds (New York, NY)
- …knowledge base of healthcare industry and medical terminology + Insurance/managed care and claims processing background a plus. Work Hours: 35 Total (Available ... shifts Monday-Friday 9:00am-5:00pm) Work Hours: 35 Total (Available shifts Monday-Friday 9:00am-5:00pm) more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... business, healthcare administration or related industry. **Knowledge, Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special pricing, medical terminology, CPT coding and CMS-1500 or CMS UB -04 claim… more
- McLaren Health Care (Flint, MI)
- …reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing , membership/eligibility, contracting and risk ... We are looking for a Director, Accounting to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and… more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... business, healthcare administration or related industry. + 18 months of experience within CareFirsts Provider Relations Department. **Knowledge, Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special… more
- Tetrad Digital Integrity LLC (Washington, DC)
- …target start architecture + Architectural support of payer systems including: claims processing , enrollment and eligibility platforms, Pharmacy Benefit Manager ... (PBM) integrations, CRM and call center platforms and care/case management systems + Design secure integrations patterns (API's, middleware, EDI batch and event driven) + Ensure alignment with enterprise architecture standards, interoperability requirements,… more
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