- 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
- Henry Ford Health System (Detroit, MI)
- …Specialist confirms the accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding Senior Specialist works independently ... a multi-disciplinary team with the objective of sending out clean quality claims and working and preventing denials. EDUCATION/EXPERIENCE REQUIRED: + High school… more
- Elevance Health (Houston, TX)
- …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
- Henry Ford Health System (Troy, MI)
- …Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager . Responsible for coordinating and leading a designated area within the CBO ... This includes but is not limited to: Coordinating timely and accurate claims submission for adjudication Coordinating and developing timely denial follow up… more
- Elevance Health (Grand Prairie, TX)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Elevance Health (San Juan, PR)
- …onsite from Monday-Friday 8am-5pm or 9am-6pm** A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health ... organization, providing information technology and business operations services for health plans. The Customer Care Representative is responsible for successfully… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the...and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under supervision of Manager and / or Director, support the managed care contracting function by performing necessary financial analysis to evaluate ... payor (or health plan) contract performance and payor rate proposals during...comparing to Government fee schedules and analyzing existing healthcare ( claims ) data and reimbursement terms and payment methodologies; with… more
- 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