- Independent Health (Buffalo, NY)
- …Pharmacy Technician Certification (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written ... communication skills and an aptitude for working with other health care professionals. + Ability to lift a minimum of 5lbs. + Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive.… more
- Mount Sinai Health System (New York, NY)
- …all insurance assessment forms and agreements and ensures they are accurate for claims processing . 8. Performs other related duties. **About Us** **Strength ... through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing /Insurance Referral. Additionally, qualified candidates must: ... + Be a US Citizen. + Have the knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs) or other evidence-based guidelines identified by… more
- HUB International (Columbus, OH)
- …experience in managing policies, endorsements, renewals, data management, and assisting in claims processing . + **Market Research** : Contribute to market ... analysis and research projects, to provide valuable insights for informed decision-making. + **Technical Training** : Participate in workshops, training sessions to strengthen your skills and industry knowledge. + **Reporting:** Prepare reports and… more
- Dignity Health (Rancho Cordova, CA)
- …codes to individual patient health information records for data retrieval analysis and claims processing . This position is expected to perform duties in ... alignment with the mission and policies within the Dignity Health organization TJC CMS and other regulatory agencies. **Principle Duties and Accountabilities:** + Assign codes for diagnoses treatments and procedures according to the appropriate classification… more
- Snapsheet (Chicago, IL)
- …that drive efficiencies using data and technology to enable the fastest and most accurate claims processing in the industry. About the Role + Team: We're looking ... for an Engineering Manager to lead our growing Data team at Snapsheet. This is a critical role for someone who enjoys rolling up their sleeves, guiding engineers in implementation and architectural decision-making, and helping evolve our data infrastructure… more
- St. Luke's University Health Network (Allentown, PA)
- …codes to individual patient medical records for data retrieval, analysis and claims processing . Codes and abstracts all pertinent medical information according ... to guidelines. Abstracts patient information into Network's health information computer system. Collaborates with multiple departments including Health Information Management and Finance to ensure appropriate flow of patient health information. ESSENTIAL… more
- Great River Health (Fort Madison, IA)
- …and verify insurance benefits and eligibility to facilitate smooth billing and claims processing . + Collect and process payments, including co-pays and ... outstanding balances, in a timely and accurate manner. + Obtain signatures for required consents and legal documentation, ensuring compliance with organizational policies. + Handle incoming calls by providing information, directing callers to the appropriate… more
- Motion Recruitment Partners (Boston, MA)
- …platforms. In the insurance industry, data is mission-critical for underwriting, claims processing , fraud detection, and customer experience. You'll leverage ... your expertise in both traditional relational database systems (RDBMS) such as SQL Server, Oracle, or PostgreSQL, as well as modern NoSQL platforms like MongoDB or Cassandra. This is a hybrid contract position in Boston. **Required Skills & Experience** +… more
- Johns Hopkins University (Baltimore, MD)
- …+ Leadership of complex audits covering health plan functions such as claims processing , premium billing, encounter data, utilization management, risk ... adjustment, provider contracting, quality metrics, and related operations. + Direct interaction with Johns Hopkins Health Plans (JHHP) Executive Leadership and Trustees to plan audits, communicate results, and advise on emerging risks and industry changes. +… more
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