- UCLA Health (Los Angeles, CA)
- Description Take on a key role within a world-class, award-winning health system. Ensure the efficient delivery of award-winning patient care. Take your career in an ... You can do all this and more at UCLA Health . You will be responsible for monthly random and...audits of all claim processing activities to identify inaccurate claims adjudication. This will involve reviewing UB04 and CMS… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication of complex ... healthcare claims . This position requires expert knowledge of ...Certified Professional Coder (CPC) **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health MSO)… more
- CVS Health (Hartford, CT)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The… more
- Robert Half Office Team (Rochester, NY)
- …and ability to multitask across multiple screens. * Experience in employee benefits, health insurance, or claims handling is preferred. * Familiarity with HRIS ... In this long-term contract position, you will handle customer inquiries, resolve claims , and educate participants and administrators on policies and procedures. This… more
- Robert Half Legal (Los Angeles, CA)
- …a commitment to delivering exceptional client service. Responsibilities: * Process and open health insurance claims with accuracy and attention to detail. * ... case management software. * Strong knowledge of personal injury litigation and claims processes. * Excellent organizational skills and ability to manage multiple… more
- CVS Health (Blue Bell, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication, and operational reporting. This role ensures… more
- WellSense (Boston, MA)
- Claims Quality Assurance Inspector WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire ... (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294591) It's an exciting time to join the WellSense Health Plan, a growing regional health insurance… more
- Providence (OR)
- … health care or general risk management, and insurance claims handling. **Preferred qualifications for this position include:** * Certified Professional ... **Description** **Providence is calling a Liability Claims Manager who will:** **Investigate, evaluate, and manage professional, general, and other liability … more
- Providence (CA)
- **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …is preferred for all positions. **POSITION PURPOSE** Researches and verifies complex claims information to ensure the accurate and timely processing of claims ... role does not manage people + This role reports to this job: SUPERVISOR, CLAIMS OPERATIONS + Necessary Contacts: In order to effectively fulfill this position, the … more