- Molina Healthcare (Long Beach, CA)
- …has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . * Evaluates medical records and/or medical notes ... **Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- National Health Care Associates (East Hartford, CT)
- **-** **A Great Place to Work** Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to ... position is responsible to support the Business Office in processing Medicaid Pending Applications, Applied Income discrepancies and Back...offer QMB or LTC when applicable) + Managed Care Claims ( follow up; appeals etc to ensure payment)… more
- UnityPoint Health (Peosta, IA)
- …experience. Find a fulfilling career and make a difference with UnityPoint Health . Responsibilities Prescription Processing + Accurately enters new prescriptions ... patients. Follows all Federal and State regulations. Why UnityPoint Health ? At UnityPoint Health , you matter. We're...authorization and contacts the appropriate people to assist in processing of claims . + Prepares prescriptions by… more
- UCLA Health (Los Angeles, CA)
- …Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim ... Description Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system.… more
- TEKsystems (Kansas City, KS)
- …to 30,000+ rows). + Transform raw charge files into structured formats suitable for claims processing . + Perform complex data manipulation in Excel, including: + ... higher. Preferred Qualifications: + Prior experience in charge entry or healthcare claims processing . + Familiarity with healthcare data systems and terminology.… more
- Holzer Health System (Bidwell, OH)
- The insurance clerk is responsible for working claims , processing edits, and doing their due diligence to ensure correct claim processing and payments from ... payer policies, and specific payer coding guidelines; follow-up on unpaid claims , process insurance takebacks, overpayments, and refunds, and perform other duties… more
- The County of Los Angeles (Los Angeles, CA)
- …and approving invoices for vendor payments, preparing invoices for services rendered, processing employee expense claims for reimbursements, cash receipts and ... Angeles County, CA Job Type Full time Job Number Y0643A-EA Department HEALTH SERVICES Opening Date 04/15/2025 + Description + Benefits + Questions Position/Program… more
- Open Mind Health (NC)
- …SPECIALIST LOCATION: REMOTE REPORTS TO: CHIEF OPERATING OFFICER ABOUT OPEN MIND HEALTH We are a collaborative team of mind-body-spirit experts who provide ... and thrive in the real world today. Open Mind Health provides virtual psychiatry, talk therapy, and complementary modalities...that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also… more
- Adecco US, Inc. (San Juan, PR)
- …specifically in a complex and high-volume environment * Previous experience in claims processing and/or case management, particularly in Social Security, is ... is a dedicated practice specializing in Social Security Disability claims . Our mission is to provide compassionate, expert assistance...worked in one day * Comprehensive benefits to include health insurance, dental insurance, LTD * Paid time off… more
- Sedgwick (Southfield, MI)
- …+ Reviews member contracts submitted to pool administration, prepares presentations on claims and issues of interest for meetings and/or strategic planning. + ... for members and trainings, and coordinates with pool administrator on cases, claims , and messaging. + Oversees the pool's liability program. + Represents the… more