- LA Care Health Plan (Los Angeles, CA)
- …auditing procedures under minimal supervision during the audits of PPGs, hospitals and health plans. Conducts sub-delegation claims oversight audits of the PPGs, ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location:...(Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
- Mount Sinai Health System (New York, NY)
- …3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems in a ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....health care or insurance environment preferred **Responsibilities** 1. Enters… more
- Molina Healthcare (Kearney, NE)
- …simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims ... Office suite and applicable software programs proficiency. **Preferred Qualifications** * Claims recovery experience. * Health insurance experience in a… more
- Mount Sinai Health System (New York, NY)
- …None but CPC preferred **Experience requirements:** + 2 years experience in medical billing or health claims with IDX billing systems in a health care or ... in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** **Education requirements:** + High School diploma/GED… more
- TEKsystems (Moorestown, NJ)
- …carriers, brokers, and networks to deliver customized services in the Accident & Health space. They specialize in claims processing, enrollment, compliance, and ... Data conversion, Build Additional Skills & Qualifications 2+ years of insurance claims experience (Accident & Health preferred) Strong proficiency in Excel… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …annual budgets, quarterly reforecasts, and related adjustments across Population Health entities. + Analyze claims , eligibility, attribution, CMS/payer ... At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and… more
- Molina Healthcare (Omaha, NE)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...program), or medical office/hospital setting. * Completion of a health care related vocational program in health … more
- Molina Healthcare (Kenosha, WI)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...program), or medical office/hospital setting. * Completion of a health care related vocational program in health … more
- Health Care Service Corporation (Downers Grove, IL)
- …group health insurance account executive OR 6 years experience in group health claims processing, customer service, claims -related, and/or sales and ... Requirements: * Must have General Lines Agent - Life, Health , and HMO license or obtain General Lines Agent...HMO license or obtain General Lines Agent - Life, Health , and HMO license within required time frame per… more
- Elevance Health (Indianapolis, IN)
- …research findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,...to recover corporate and client funds paid on fraudulent claims . **Primary duties may include, but are not limited… more