- 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
- McLaren Health Care (Flint, MI)
- …+ Two(2)years'experienceandknowledgeof HMO,orPPO(eg accounting/finance, reinsurance, regulatory compliance, claims ... processing , membership/eligibility, actuarial precepts). 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
- 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
- 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
- NTT DATA North America (Baton Rouge, LA)
- …Minimum of 2 years in implementation, operations, and maintenance of health care claims processing or eligibility system projects. + Experience with Medicaid, ... SNAP or TANF Terminology and Federal Requirements. + Bachelor's degree in IT, business, or a related field **Preferred Skills** : . Master's degree in IT, business, or a related field preferred Where required by law, NTT DATA provides a reasonable range of… more
- National Vision (Duluth, GA)
- …agreement reimbursement rates to determine payer reserve analysis + Monitoring billing, claims processing , and payment reconciliations performed by the RSC ... managed care team to determine accounting impacts. + Assessing revenue trends and projecting financial outcomes related to payer reimbursement rates through the use of Microsoft BI. + Ensuring alignment with healthcare regulations and payer policies. + Using… more
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