- Command Investigations (TN)
- …Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... are compensatory to advanced, experienced, Investigators pay in the industry + 401(k) + Health Insurance: Medical, Dental, Vision + Paid time off + Paid Travel Time… more
- Guidehouse (Lewisville, TX)
- …denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and ... Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
- Montana State University (Bozeman, MT)
- …of NCAA drug policy, testing regulations and supplements. + Experience administering health insurance claims . The Successful Candidate Will The successful ... in concert with student-athletes, coaches and support staff to maintain the health and well-being of student-athletes, enabling them to participate in their… more
- Carnival Cruise Line (Miami, FL)
- …the crew health team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of ... metrics, drives continuous improvement, and leads the implementation of the crew health programs, and policy development. This position requires strong knowledge of… more
- Molina Healthcare (GA)
- …plans. + Participates in the implementation and conversion of new and existing health plans. + GA Medicaid claims / reimbursement/ coding experience is highly ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- TEKsystems (San Antonio, TX)
- …interpersonal and computer skills (especially Excel). Preferred Qualifications: + Experience with health insurance claims , billing, or authorization. + 2+ years ... AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and other data sources, and performing analytics. * Knowledge of managed care and health care claims preferred * Experience using SQL or Python for pulling ... focus in the department include but are not limited to provider, health management, quality, product development and client/member analytics. Your Responsibilities *… more
- NTT America, Inc. (Baton Rouge, LA)
- …skills. + Minimum of 2 years in implementation, operations, and maintenance of health care claims processing or eligibility system projects. + Experience with ... dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... well as a focus on collaborative business relationships, value-based care, population health , or disease or care management. Medical Directors support Humana values… more
- Waystar (Louisville, KY)
- …patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. ... The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and ...health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow… more