- New York State Civil Service (New York, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative Trainee 1 (NY HELPS) Occupational Category Other Professional Careers Salary Grade 14… more
- Conduent (Helena, MT)
- …Processor, you will be responsible for: + Accurately input claim data into claims processing systems + Review documents for completeness and accuracy before ... about Medicaid Provider support and the medical eligibility and claims process! **About the Role** As a Claims... claims process! **About the Role** As a Claims Resolution Transaction Processor claims team, you… more
- Robert Half Office Team (Oakland, CA)
- …customer service to all stakeholders. * Perform additional duties as assigned to support claims processing activities. If you are interested in this role please ... including ICD-10, CPT, and HCPCS. * Minimum of 3 years of claims processing experience in a Medicare/Medi-Cal environment. * Proficiency in computer applications… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- CHS (Clearwater, FL)
- …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims … more
- NTT America, Inc. (Little Rock, AR)
- …experience in Medicaid Claims Adjudication, including understanding of claims processing workflows, adjudication rules, mass-adjustments, and system ... organization, apply now. We are currently seeking a Senior Claims Business Analyst to join our team in Little...expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate… more
- Pacific Medical Centers (Renton, WA)
- …Care Business Administration. + 2 years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO, HMO, PHO or large group practice ... for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... + Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented,… more
- AIG (Atlanta, GA)
- …smaller Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + + Negotiate ... role will be responsible for supporting the contracting of claims Law Firms, engaging in the collection of Law...line with the team's standard operating process. + Support Claims Law Firm Managers with spend data analysis, data… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …upgrades, modifications, and regulatory changes, while ensuring timely and accurate claims processing . Additionally, this role directs third-party follow-up ... serve as a leader of positive change. The **Manager of Specialty Services, Claims & Accounts Receivable** is responsible for overseeing the full spectrum of billing… more
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