- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Molina Healthcare (Kearney, NE)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- University of Washington (Seattle, WA)
- …Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is ... responsible for claims review, clearing claim edits, and timely and accurate...clear the charge edit as appropriate. + Resolve all pre- processing claim edits that indicate errors needing correction. This… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... at home to do this position **Job Duties:** + Processing complex claims requiring investigation and coding...so let's get to work. Apply to be a Claims Specialist today! As part of our… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
- Commonwealth Care Alliance (Boston, MA)
- …certifications **Required Experience (must have):** + 3+ years in healthcare claims processing , provider reimbursement, or payment integrity. + Experience ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims … more
- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including ... experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three… more
- New York State Civil Service (Liverpool, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... City Liverpool State NY Zip Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will play a key role in… more
- Trinity Health (Columbus, OH)
- …+ In conjunction with the 3rd party vendor, create/maintain DLT's for claims processing staff **Minimum Qualifications** + .Education: Associate or Bachelor's ... **Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims that do… more