- American Academy of Family Physicians (Washington, DC)
- …This role requires expertise in analyzing electronic health record (EHR) and claims data (across Medicare, Medicaid, and commercial payers) for primary care health ... Functions will include:** + Design and execute research projects using EHR and claims data to answer primary care-relevant questions. + Develop and apply simulation… more
- HUB International (Irvine, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... to find the best solutions to meet client's needs. + Examines benefits and claims data for inclusion in RFPs, organizes carrier & vendor bids received and follows… more
- CoStar Realty Information, Inc. (Arlington, VA)
- …Matterport's digital twin technology as an essential solution for ** claims documentation, damage assessment, and restoration project management** . ... Develop go-to-market strategies that emphasize Matterport's value for insurance claims , damage verification, and restoration documentation. + Collaborate with… more
- Owens & Minor (Downers Grove, IL)
- …The anticipated pay range for this position is $20 hourly. The actual compensation offered may vary based on job related factors such as experience, skills, ... Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments. + Ability to...and review/appeals payments. + Ability to edit and resubmit claims for payment. + Prepares and reviews clean … more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more
- Waystar (Atlanta, GA)
- …We process billions of transactions annually, leveraging a massive dataset of claims , remittances, and patient data to drive outcomes. With Waystar AltitudeAI (TM) ... NLP/Generative AI, and predictive time-series modeling, specifically applied to financial, claims , or clinical data. + Demonstrable success in translating complex… more
- Walmart (Elgin, IL)
- …area in accordance with company policies and procedures by properly handling claims and returns; utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to inventory that is… more
- Beth Israel Lahey Health (Charlestown, MA)
- …back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and ... changes in support of all Epic Resolute Professional Billing, Claims , Remittance, and Router applications including ongoing production maintenance, upgrades,… more
- Elevance Health (Tampa, FL)
- …information as needed. + Copies incoming and outgoing correspondence. + Ensures rejected claims were denied correctly or determines if those claims should be ... matched to a member. + Manually matches or denies claims that are halted in our system because of...be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- AnMed Health (Anderson, SC)
- …related to account information. Prepares and files electronically or hardcopy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations ... and regulations governing billing compliance. + Maintains provider billing information so claims can be successfully processed and transmitted to third party payers.… more