- Molina Healthcare (Layton, UT)
- …Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/ Claims roles at a health plan or vendor. Familiarity with ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... billing and processing program claims for accuracy and completeness; submit claims ...weekly billing batches (uploads and response files) in Electronic Health Record (MyEvolv) + Understand clients' insurance benefits utilizing… more
- Trinity Health (Nampa, ID)
- …ensure accuracy. + Accesses information and translates data into information acceptable to the claims processing system. + Prepares claims for return to ... **Employment Type:** Full time **Shift:** Day Shift **Description:** At Saint Alphonsus Health System, we are looking for people who are living out their calling. We… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- CareOregon (Portland, OR)
- …or credentialing Preferred + Experience with Database Configuration + Experience with Claims Processing experience + Experience with Database Structures + 1+ ... data plays a critical role in the success of claims payment, OHA Health Systems (DMAP) and...and Abilities + Ability to learn and effectively navigate claims processing technologies, such as QNXT and… more
- Covenant Health Inc. (Sevierville, TN)
- …student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. ... Overview: LeConte Medical Center is a part of Covenant Health , our region's top-performing healthcare network and is a...and billing statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims… more
- UNUM (Chattanooga, TN)
- …**Principal Duties and Responsibilities:** + Timely and accurate adjudication of complex STD claims + Processing of leaves associated with an employee's own ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- …of payment and track payment to check date. Receives beneficiary travel claims , identifies type of travel benefit claimed, checks for completeness, and institutes ... evidence, determines eligibility and entitlement, and either grants or denies travel claims . Initiates, or accomplishes as requested all required fiscal reporting on… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical ... interaction with technology, we tailor solutions to support individual health needs and improve how people engage. Data is...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more