- 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
- CVS Health (Franklin, TN)
- …all processes related to medical and policy history. This position involves reviewing health records, claims , and related documentation to ensure alignment with ... and policy history to support claim and policy decisions. + Review multiple health records, medical histories, claims , correspondence images, and bills from… 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
- 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** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews and… 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 (Oakland, CA)
- …insurance claims to ensure proper documentation. * Coordinate with home health teams to address claims -related issues and ensure compliance with insurance ... Description We are looking for a skilled Claims and Denials Specialist to join our team...environment with attention to detail. * Familiarity with home health operations and insurance requirements is preferred. * Competency… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy ... claims for payment. The Pharmacy Claims Representative 2 performs varied activities and moderately complex...Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and… more
- Henry Ford Health System (Troy, MI)
- …Knowledge of industry claims , healthcare and medical terminology. + Proficient with health care claims data and payment methodologies. + Knowledge of CPT, ... auditor is responsible for analyzing and auditing inpatient and professional claims to identify inappropriate coding and billing practices/patterns, including those… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with… more