- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
- University of Utah Health (Salt Lake City, UT)
- …**Qualifications** **Required** + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims . + ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health ...if adjustment is necessary. + Adjusts and documents medical claims or electronic records. + Researches and verifies appropriate… more
- Molina Healthcare (New Haven, CT)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Elevance Health (Miami, FL)
- …and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
- CVS Health (Monroeville, PA)
- …+ 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or ... + 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related… more
- UCLA Health (Los Angeles, CA)
- …you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be ... will: + Coordinate and monitor the daily workflow of claims processing . + Distribute unprocessed claims...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- AdventHealth (Maitland, FL)
- … claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- CVS Health (Tallahassee, FL)
- …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- Hackensack Meridian Health (Edison, NJ)
- …relevant field. + Minimum of 10 years of experience in healthcare receivables, health insurance claims processing , or healthcare customer service, including ... inpatient, outpatient, and specialty areas across the Hackensack Meridian Health (HMH) network. Provides management, coordination, and standardization of follow-up… more
- Independent Health (Buffalo, NY)
- … payment. Technical Proficiency and Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to ... Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental… more