- Elevance Health (MN)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands and responds to the needs and expectations of… more
- Mount Sinai Health System (New York, NY)
- …and analytic development skills and impact the patient community of the Mount Sinai Health System. **Qualifications** + BA or BS degree minimum, in a relevant field ... 5 years minimum in analytics development expertise, preferably in health care, or for a health provider,...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions is looking for an Implementation Manager with experience managing a complex, program of strategic projects that span ... more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal… more
- Fallon Health (Worcester, MA)
- … Health policies and procedures to include products, benefits, claims , referral and eligibility verification processes, utilization management guidelines, etc. ... this area, love to hear from you and your colleagues!** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get… more
- Trinity Health (Livonia, MI)
- …physician/provider documentation contained in Complex Outpatient (CO)/Ambulatory Surgery health records to determine the principal diagnosis, secondary diagnoses, ... resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: +… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …employees. The ideal candidate will have an extensive Benefits background, specifically in Health & Welfare and Retirement. Will be able to work independently, as ... in the full range of administrative activity for any assigned plans. ** Health & Welfare** + Administers employee benefits programs provided by the Authority… more
- BrightSpring Health Services (Valdosta, GA)
- Our Company BrightSpring Health Services Overview BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process ... Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned...HCHB (Home Care Home Base) experience preferred. + Home Health Hospice related experience preferred. About our Line of… more
- Covenant Health Inc. (Knoxville, TN)
- …of Corporate Coding Services Full Time, 80 Hours Per Pay Period Covenant Health Overview: Covenant Health is East Tennessee's top-performing healthcare network ... area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area's… more
- Tidelands Health (Murrells Inlet, SC)
- …Team Tidelands and help people live better lives through better health !** **Position Summary:** The Patient Financial Services Financial Counselor will perform ... assets, and establish access to and utilization of government health coverage and/or charity care. + **Facilitate Financial Clearance**...team members for review of denials and/or rebilling of claims related to revision of order for services. +… more
- CVS Health (Phoenix, AZ)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit… more