- NTT DATA North America (Chicago, IL)
- …steps that can inform automation strategies **Required Skills/Experience** + 5+ years of health insurance claims processing including experience working with ... in **Chicago, IL** **Role Responsibilities** + Process and adjudicate health , dental, and vision insurance claims with...to identify patterns and opportunities for automation + Share claims processing expertise with team members and… more
- Molina Healthcare (FL)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits ... concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems… more
- TEKsystems (Moorestown, NJ)
- …services in the Accident & Health space. They specialize in claims processing , enrollment, compliance, and data-driven solutions that help clients navigate ... Data conversion, Build Additional Skills & Qualifications 2+ years of insurance claims experience (Accident & Health preferred) Strong proficiency in Excel… more
- Molina Healthcare (Bowling Green, KY)
- …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
- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...mail (emails, USMail) from pharmacies, patients, Sites of Care, Health Care Providers, copay vendors (PDMI, FHA and Merchant… more
- Robert Half Office Team (Lakewood, NJ)
- …appeals. * Retrieve medical records from Net Health and SharePoint to support claims processing . * Ensure records are prepared and provided to reviewers for ... Description We are looking for a detail-oriented Claims Assistant to join our team in Lakewood,...records using computer systems for efficient review. * Log claims and appeals requests accurately, adhering to departmental guidelines.… more
- Health Care Service Corporation (Downers Grove, IL)
- …a group health insurance account executive OR 6 years experience in group health claims processing , customer service, claims -related, and/or sales ... Requirements: * Must have General Lines Agent - Life, Health , and HMO license or obtain General Lines Agent...HMO license or obtain General Lines Agent - Life, Health , and HMO license within required time frame per… more
- Hackensack Meridian Health (Edison, NJ)
- …Finance. + Minimum of 5 years of management work experience in healthcare receivables, health insurance claims processing , or healthcare customer service. + ... functions impacting patient financial responsibility across the Hackensack Meridian Health (HMH) network. Provides leadership to customer service functions, ensuring… more
- Insight Global (Pleasanton, CA)
- …This role ensures compliance with Medicare regulations and supports the clinic's financial health through timely claims processing , payment posting, denial ... maintain accurate documentation. Key Responsibilities: * Prepare, review, and submit Medicare claims (CMS-1500) for outpatient mental health services. * Apply… more
- NTT America, Inc. (Plano, TX)
- …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in P&Q work ... situations following pre-established guidelines Requirements: 1-3 years of experience in processing claims adjudication and adjustment process Experience of… more