- 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
- Ascension Health (Austin, TX)
- …**Additional Preferences** Additional Preference: + Three (3) years of experience in health -care claims adjudication required. + Expertise in the Facets platform ... (per year) Must reside in Texas **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more
- Kelly Services (Glastonbury, CT)
- …Ability to prioritize tasks and escalate concerns appropriately + Experience with health insurance claims , premiums, and regulatory compliance + Financial ... **Job Title:** **Medical Claims Account Manager** **Reports To:** CFO **FLSA Status:**...organizations. This role involves managing administrative processes related to health premiums and medical out-of-pocket expenses, handling client inquiries,… more
- Cognizant (Austin, TX)
- …will:** . Design and execute comprehensive test plans and test cases for ETE - Health Care Claims / Membership based applications. . Perform Automation testing of ... the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an...considered** . 6 to 8 years of experience in Health Care with ETE testing. . Strong proficiency in… more
- Healthfirst (NY)
- …or GED equivalent + Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, ... not limited to new product implementation, regulatory initiatives, and other various health plan business objectives + **_Serving as an advocate for Hospital… more
- Access Dubuque (Dubuque, IA)
- …Experience Specialist UnityPoint Health Finley Hospital IT Specialist Southwest Health Senior Commercial Bodily Injury Claims Adjuster Cottingham & Butler/ ... Cottingham & Butler/ SISCO Experience Specialist/Receptionist: Family Medicin UnityPoint Health Finley Hospital Claims Coordinator Cottingham & Butler/… more
- Armed Forces Benefit Association (Lincoln, NE)
- …steps. + Claims Adjudication and Documentation Review and adjudicate voluntary health and wellness claims in accordance with contract provisions and benefit ... client experience and comprehensive portfolio of life and supplemental health products striving to deliver total health ...and wellbeing to employer groups and their employees. The Claims Analyst is an operations and sales support role… 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
- Apex Health Solutions (Houston, TX)
- …access and a quiet and private workspace. Skills Minimum two (2) years of claims and health care administration and/or managed care experience Strong knowledge ... Job Title: Claims Processor Department: Operations Supervisor: Manager, Claims...of health insurance industry with all product lines (Medicare, Medicaid,… 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