- 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
- USAA (San Antonio, TX)
- …Special Investigations Unit Investigator I (Mid-Level)** to review, analyze, and investigate life, health , and annuity claims to ensure claim validity and to ... you'll do:** + Conducts moderately complex investigations for life, health , and annuity products for potential claims ...life, health , and annuity products for potential claims fraud. + Gathers evidence through interviews, searches of… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Time.* **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the ... . + Coordinates periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality… more
- Indian Health Service (Parker, AZ)
- …to the ICD-9-CM Coding volumes. Supervises the filing of all pending and completed health insurance claims and correspondence relative to the third party and ... Providers Reimbursement Manual, Direct Dealings, Provider Letters, and Federal Health Insurance for the aged, Transmittals of bills, vouchers...required. IHS Selectees that will work in an IHS health care facility may be subject to Employee … 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
- Northwell Health (Great Neck, NY)
- …and Insurance Broker in all aspects of claims management; monitors complex claims impacting on the health system's Insurance Captive Insurance company, Self ... **Req Number** 164495 Job Description Participates in the management of a Claims Management Program. Prioritizes and monitors claims filed, evaluates insurance… 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
- 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
- Molina Healthcare (St. Petersburg, FL)
- …+ 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
- 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