- Molina Healthcare (Lexington, KY)
- … Associate degree or equivalent combination of education and experience **Required Experience ** 1-3 years **Preferred Education** Bachelor's Degree ... **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost… more
- Corewell Health (Grand Rapids, MI)
- …+ Associate 's degree or equivalent + 2 years of relevant experience Member of Provider Customer Service, claims , Legal and/or enrollment/eligibility + ... (external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy… more
- Immigration and Customs Enforcement (Washington, DC)
- …(DCLD) as an Associate Legal Advisor (ALA) and leverage your legal experience to protect the homeland. These positions offers up to $50,000 in signing and ... Office for Immigration Review. Selected attorneys will fill the Associate Legal Advisor (ALA) position and primarily serve as...civil litigation and through the adjudication of administrative tort claims . ALAs work closely with the DHS Office of… more
- The City of Houston (Houston, TX)
- …will be given to the candidates with the following skillset(s): Previous experience adjusting workers' compensation claims and/or previous experience ... Associate degree and six (6) years of professional experience in Finance, Accounting or Worker's Compensation; three (3)...+ Yes + No 04 Do you have Previous experience adjusting workers' compensation claims and/or previous… more
- Intermountain Health (Columbia, SC)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- AmeriHealth Caritas (Charleston, SC)
- …Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) required.; + Associate 's Degree or equivalent education and experience preferred. + ... and Provider data maintenance knowledge. + Required understanding of and experience related to healthcare claims payment configuration process/systems and… more
- Humana (Springfield, IL)
- …Finance, Healthcare Administration, Data Analytics, or a related field, or equivalent work experience . + Demonstrated experience in claims analysis, payment ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law ... involving economic or insurance related matters; or an associate 's or bachelor's degree in criminal justice or related...CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims… more
- Arc Allegany-Steuben (Bath, NY)
- …requirements. Financial Management + Review, prepare, and submit Self Direction billing claims through eVero on a monthly basis. + Cross-check units utilized against ... confirm services do not exceed participant allocations. + Reconcile denied or rejected claims , correct errors, and resubmit promptly to ensure timely payment. + Run… more
- Sysco (Ankeny, IA)
- …Operating Site for product complaints with potential for food safety issues and to support the Claims Process with Sysco's 3rd party claims administrator. ... the Operating Site. This position drives the corporate Global Support Center (GSC) food safety strategy at the local...Operations to collect data for Sysco's legal team during claims issues to ensure relevant purchase and sales records… more