- Robert Half Accountemps (Minneapolis, MN)
- …while supporting healthcare operations. Responsibilities: * Analyze denied and pending claims to identify and address issues in third-party accounts receivable. * ... Initiate outbound calls to insurance providers to appeal claims and verify their status. * Coordinate resolutions with...commercial insurance providers. * At least one year of billing or collections experience in a hospital or facility… more
- General Dynamics Information Technology (Fairfax, VA)
- …Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance Regulations,Medical Billing and Coding,Technical Writing Documentation **Certifications:** ... Party activities. **Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with insurance policies,… more
- Capgemini (New York, NY)
- …value stream - from product development, underwriting, and policy administration to claims , billing , distribution, and servicing. . Translate business needs into ... trends such as embedded insurance, ecosystem partnerships, AI/ML in underwriting and claims , and cloud adoption. Travel is required per 50-75% dependent on client… more
- Robert Half Finance & Accounting (Fort Worth, TX)
- …skills to ensure the accurate and timely management of insurance claims . The successful candidate will collaborate with insurance providers, patients, and ... regulations and industry standards. * Work closely with the billing department to accurately process payments and insurance remittances....* Resolve issues related to denied or underpaid insurance claims in a prompt and efficient manner. * Stay… more
- Norstella (Salt Lake City, UT)
- …4+ years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) * Advanced ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...Savings Accounts (HSA) or Flexible Spending Accounts (FSA) * Dental & Vision Benefits * Basic Life and AD&D… more
- Norstella (Concord, NH)
- …years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...*Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) * Dental & Vision Benefits *Basic Life and AD&D Benefits… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …frameworks tailored for **insurance data domains** such as agency, carrier, policy, claims , Invoicing & billing , and reinsurance. + Create scalable and ... analytics, reporting, and AI/BI/ML initiatives across Broking, Binding, underwriting, claims , actuarial, and policy management functions. **Key Responsibilities:** **Data… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks ... (COC) preferred + Proficiency in working with and analyzing claims data + Strong written and verbal communication skills...& ICD10 coding, Correct Coding Initiatives and CMS 1500 billing + Strong critical thinking & problem-solving skills +… more
- Select Medical (Camp Hill, PA)
- …Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an exceptional ... a member of the Account Receivables team, you will resolve unpaid insurance claims balances accurately. You will independently work towards daily goals with the… more
- Zelis (NJ)
- …the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, ... ensure accurate results to our clients + Manage assigned claims and claim report, adhering to client turnaround time,...healthcare programs + Strong understanding of hospital coding and billing rules + Clinical and critical thinking skills to… more