- Corewell Health (Grand Rapids, MI)
- …and Federal regulations related to healthcare billing and coding + Experience with health care claims Preferred: + Direct experience in hospital or physician ... Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager, Payment Integrity. This role is responsible for overseeing… more
- LA Care Health Plan (Los Angeles, CA)
- …execution, reporting and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These ... of business. The position is responsible for the Department of Managed Health Care (DMHC) claims data submissions for LA Care and its Plan Partners (PPs) and… more
- CommuniCare Health Services Corporate (Linthicum Heights, MD)
- …Indiana, Maryland, Virginia, West Virginia, Pennsylvania). Due to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / ... more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated and transformative care to… more
- Independent Health (Buffalo, NY)
- …written, verbal and interpersonal communication with other departments within Independent Health to resolve problems related to claims payment. **Immigration ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
- Molina Healthcare (Caldwell, ID)
- …+ Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Nestle (Medford, WI)
- …focus of this position is injury management and the administration of occupational health claims . The Specialist will work closely with cross-functional teams to ... and thrive. _This position is not eligible for Visa Sponsorship._ The Occupational Health and Safety Specialist is responsible for fostering a culture of safety and… more
- Mount Sinai Health System (New York, NY)
- …or HS Diploma/GED plus two years of related experience. + 3 years of health claims billing experience; prefer experience working with CPT and ICD-10 coding ... Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where...next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is… more
- Elevance Health (Indianapolis, IN)
- …data scientists, statisticians and actuaries preferred. + Experience working with large health claims datasets or gathering datasets. Experience with evaluation ... track record and recent industry and vendor knowledge in evaluating traditional health plans, emerging health plans, Value Based Care arrangements, surgical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Leads the long-range financial strategy and annual operating plan for the Emory Health Plan. + Translates trends in claims , utilization, and healthcare market ... integrated health systems. + Deep knowledge of health plan operations, claims analysis, actuarial principles and healthcare finance. + Demonstrated ability… more
- Intermountain Health (Ogden, UT)
- …in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts. + EMR experience + ... with Providers and Medical Staff any red flag pre-operative health concerns for patient safety. + Scan and Document...Insurance Coding + Computer Literacy + Patient Care + Health Care + Medical Procedures + Medical Terminology +… more