- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …to the equipment or services normally provided for the condition Examines clinical health records and claims folders to determine legal eligibility and medical ... and Sensory Aids Service (PSAS) at the Columbia VA Health Care System. The purpose of this position is...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Participation in the Coronavirus Disease… more
- LG Energy Solution (Holland, MI)
- …health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee work, ... Title: Occupational Health Nurse Reports to: Manager, Health ...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
- LG Energy Solution (Holland, MI)
- …health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee work, ... Title: Occupational Health Nurse, Specialist (Part Time or Full Time)...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
- University of Pennsylvania (Philadelphia, PA)
- …will use SAS and/or STATA programming skills to create analytical datasets from health care claims , administrative databases, clinical trials, and surveys to ... skills to create analytical datasets from clinical trials, surveys and health care claims , to construct and standardize outcome measures and other analytical… more
- UnityPoint Health (Urbandale, IA)
- …verify benefits and obtain authorization for specialty medications. + Processes test claims of health system's specialty pharmacy prescriptions through pharmacy ... for specialty medications. Understands pharmacy benefit and medical benefit claims submission process for reimbursement of prescription medications. Communicates… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Skills demonstrated ability in using Power BI or Tableau. + Knowledge of claims -based health care data, including medical terminology and standard coding systems ... the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality...by data testing, the quality and accuracy of BILHPN's claims and EMR data. Responsible for developing reports for… more
- Humana (Montpelier, VT)
- …- What it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with ... **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of… more
- Intermountain Health (Murray, UT)
- …Minimum Qualifications Demonstrated experience in any of the following: + Medical/pharmacy claims processing. + Health benefit coordination. + Customer service. ... and analyzes specialized reports that are used to ensure timely and accurate claims adjudication. + Works closely with operations and pharmacy teams to communicate… more
- Mindful Support Services (Goodyear, AZ)
- …payments to an EHR system + Navigating clearinghouse data and resolving rejected claims + Behavioral health medical billing experience (preferred) + Experience ... provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011,… more
- Humana (St. Paul, MN)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana values, and… more