- TEKsystems (Atlanta, GA)
- …Experience in a healthcare related field preferred. + Current Epic certification required- Professional Billing, Professional Billing Claims + Working ... knowledge of personal computers and Microsoft Windows OS and applications. + Excellent analytical, written and oral communication skills. + Excellent customer service and interpersonal skills. + Excellent project management skills. Projects + B uilding out new… more
- Queen's Health System (Kamuela, HI)
- …analyzes incidents occurring throughout QNHCH, which may result in general and/or professional liability claims . * Leads the implementation, and facilitation of ... key clinical performance improvement efforts. **II. TYPICAL PHYSICAL DEMANDS:** A. ESSENTIAL FUNCTIONS: * Seeing. Hearing. Speaking. Finger dexterity. B. MANUAL MATERIAL HANDLING: * Infrequent: N/A * Occasional: Lift waist to shoulder between 0-5 lbs. Carry… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …maintain effective working relationships with client contacts. + Perform advanced claims processing, including professional , facility, and ancillary claims ... satisfaction and long-term retention. This role requires a detail-oriented professional who communicates with clarity, accuracy, and professionalism across all… more
- Scripps Health (San Diego, CA)
- …some responsibilities include, but are not limited to:* . Responsible for managing claims of professional negligence and professional Board inquiries for ... of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in… more
- Travelers Insurance Company (Morristown, NJ)
- … professional liability. This position will specifically manage Lawyers and Miscellaneous Professional Liability (MPL) claims and litigation as a member of ... the Lawyers / MPL Claim Team. Lawyers Professional Liability (LPL) claims typically involve alleged legal malpractice or breach of fiduciary duty against law… more
- Humana (Annapolis, MD)
- …experience with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Molina Healthcare (Atlanta, GA)
- …claim adjudication or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, ... release notes to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and files that support… more
- NTT DATA North America (Raleigh, NC)
- …validation, and reconciliation between sources and outputs. + Work with claims (institutional, professional , dental, pharmacy) and clinical data sources ... + Minimum of 5 years healthcare data analytics experience with understanding of claims , encounters, and quality measures + Minimum of 5 years hands on experience… more
- OhioHealth (Columbus, OH)
- …staff in the OGC addressing concerns impacting OhioHealth's liability with respect to professional liability claims and incidents and the review and oversight of ... practitioner claim trends from the organization's claims /incidence database. In partnering with System Quality, this role...reputational, or financial. This position will include reviewing potential claims for reporting to the OGC. This role is… more
- Forward Air (Groveport, OH)
- …+ Operate and oversee the PU&D assignment in a way that avoids claims + Professional communication + Perform basic math, typing, computer literacy ... Opportunity to learn the industry and build a national network of professional connections + Skills training and experience attractive for numerous Promotional… more