- McLaren Health Care (Flint, MI)
- …https://www.mdwise.org/ . **Position Summary:** Provides overall management in providing superior claims operations for McLaren Integrated HMO Group's health ... Recruitment, performance management, training). + Four (4) years' experience in health plan claims , billing or claims adjudication operations for multiple… more
- UCLA Health (Los Angeles, CA)
- …Take your career to the next level. You can do all this and more at UCLA Health . The Claims Quality Auditor will be responsible for the daily audit of all ... + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned health system with four award-winning hospitals and… more
- MVP Health Care (Schenectady, NY)
- …but equivalent experience may be substituted. + Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2 years' ... At MVP Health Care, we're on a mission to create...improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a… more
- CDPHP (Albany, NY)
- …incumbent will work closely with all departments such as Member Services, Claims Operations, Provider Relations, Health Care Network Strategy, Configuration and ... diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ICD 10 and HCPCS… more
- AIG (Croydon, PA)
- …using the key fraudindicators. What you'll need to succeed * Previous Accident & Health or Personal Accident claims experience * Policy language skills enabling ... Join us as a Claims Adjuster to grow your experience in handling...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within a ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… more
- UPMC (Pittsburgh, PA)
- …+ Bachelor's degree or equivalent experience. + Minimum of five years of health insurance, medical claims processing, claim adjustment; coordination of benefits, ... **Purpose:** Provide technical and plan support to claims examiners and adjustment/COB staff. Assist with development...with development and training of team members. Process VIP claims and adjustments. Resolve customer concerns as needed. Assume… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... (ERM). Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications… more
- Robert Half Office Team (Columbus, OH)
- …of healthcare billing, reimbursement policies, and denial reasons. + Familiarity with electronic health records (EHR) and claims systems. + Knowledge of HIPAA ... seeking experienced HIM Associates with a strong background in working denied claims and commercial payer follow-up. This fully remote, contract-based opportunity is… more
- Trinity Health (Albany, NY)
- …and identify potential risks and mitigation associated with that risk. **LIABILITY CLAIMS SUPPORT:** Works collaboratively with assigned Trinity Health Area ... identify witnesses, schedule interviews, depositions and other discovery). In litigated claims , assists Trinity Health Insurance and Risk Management Services… more