- Elevance Health (Norfolk, VA)
- …week. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance ... Health family of companies, Carelon Insights, formerly Payment Integrity,...dollar volume of provider. + Analyzes data to select claims to be reviewed, conducts reviews using medical charts,… more
- Elevance Health (Chicago, IL)
- …PI areas (Data Mining, Coordination of Benefits, Complex and Clinical Audit, Claims Edits, and the Special Investigations Unit) operating as an internal consultant ... and leadership roles, with specific knowledge in payment integrity, provider, and claims domains. + Lean Six Sigma Black Belt certification; Master Black Belt… more
- Elevance Health (Independence, OH)
- …volume of provider. + Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts, medical notes, itemized ... + Verifies dollar amount on claim is correct in claims system and writes report of the findings of...provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Indianapolis, IN)
- …accommodation is granted as required by law._ A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , formerly Beacon ... Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee...deliverables. The role involves implementing and maintaining 837 and claims flat files. **How you will make an impact:**… more
- Elevance Health (FL)
- …_PLEASE NOTE: This position is not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance Health family of brands, ... Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed...SAS required, and a minimum of 3 years in health care setting; or any combination of education and… more
- Henry Ford Health System (Troy, MI)
- …work remotely Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with ... of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials… more
- Elevance Health (Indianapolis, IN)
- …complex provider issues and appeals for prompt resolution. + Coordinates prompt claims resolution through direct contact with providers and claims department. ... to $34.18. Locations: California; Minnesota. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Elevance Health (Denison, TX)
- …by law._** **National Government Services** is a proud member of Elevance Health 's family of brands. We administer government contracts for Medicare and partner ... with the Centers for Medicare and Medicaid Services to transform federal health programs. **Work Hours: Monday through Friday, 10:35 AM to 7:05 PM EST** The **SCA… more
- Hawaii Pacific Health (Honolulu, HI)
- Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other ... Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health , pediatric care, cardiovascular services, cancer care, bone and joint services and… more
- Elevance Health (New York, NY)
- …via telephone 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