- Molina Healthcare (Fort Worth, TX)
- …+ 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
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …related field. + Minimum three years in a healthcare billing office or health insurance claims environment; familiar with common medical billing practices, ... or changing priorities. + Prior experience with an electronic billing system/ claims editor. + Proficient with computer applications and spreadsheets. + Must… more
- Elevance Health (Atlanta, GA)
- …data scientists, statisticians and actuaries preferred. + Experience working with large health claims datasets or gathering datasets. Experience with evaluation ... and responding to financial risks inherent in the pricing and development of health insurance products. **How you will make an impact:** + Prepares and interprets… more
- Intermountain Health (Murray, UT)
- …in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts. **Physical Requirements** + ... read computer monitors and documents. **Physical Requirements:** **Location:** Intermountain Health Intermountain Medical Center **Work City:** Murray **Work State:**… more
- Center For Health Information And Analysis (Boston, MA)
- …Experience working with hospital discharge data and previous experience working with health care claims data strongly preferred. + Effective Communication: ... At the Center for Health Information and Analysis (CHIA), we serve as...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- AdventHealth (Maitland, FL)
- …claims for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Point32Health (Boston, MA)
- …experience in curating and using electronic health system data including health insurance claims , medical records, and surveys. HPI areas of interest ... in Medicaid policy, maternal health , and/or safety-net health systems * Experience using claims data preferred * At least one first author publication… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …assigned *QUALIFICATIONS:* /*Minimum Qualifications:*/ * 2 years clerical experience in health care revenue cycle operations: billing/ claims , patient accounting, ... are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely...be assigned via a work queue in the electronic health record system Current List of non-MN States where… more
- UPMC (Pittsburgh, PA)
- …ready to lead a high-performing team and make an impact in healthcare? At UPMC Health Plan, we're looking for a Claims Operations Supervisor who thrives on ... If you're passionate about developing people, improving processes, and ensuring excellence in claims performance, this role is for you. Why join us? You'll play a… more
- Corewell Health (Grand Rapids, MI)
- …billing and enrollment, care management, medical, pharmacy and behavioral health authorizations, customer service interactions, prescription claims , medical ... Preferred + Bachelor's Degree or equivalent + Working knowledge of Priority Health systems for claims payment, care management, authorizations, customer service… more