- Essentia Health (Duluth, MN)
- …representatives, preparing and instituting legal holds, and managing the systematic tracking, processing and closing of all insurance claims involving Essentia. ... **Job Description:** Claims Paralegal's primary duties include claims ...the Legal Department.Work Experience:Minimum two years' paralegal experience in health care or law office setting, preferably in general… more
- Axis (Red Bank, NJ)
- …for candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... handling expertise for all of the accident and health claims , both claims adjudicated...Assists in the maintenance of the guidelines for the processing of accident insurance claims + Reviews… more
- Apex Health Solutions (Houston, TX)
- …key requirements Shall perform user acceptance testing for any impacted changes to claims processing as directed Meets or exceeds production and quality ... a quiet and private workspace. Skills Minimum two (2) years of claims and health care administration and/or managed care experience Strong knowledge of health… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This job ... About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced...Essential Qualifications + Knowledge of contracts, medical terminology, and claims processing and procedures. + 1+ year… more
- Cedars-Sinai (CA)
- …in applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial products and provider ... claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is… more
- Elevance Health (Richmond, VA)
- …risk adjustment initiatives and possesses a deep understanding of end-to-end claims and encounter processing (including both fee-for-service and "zero-dollar" ... **Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables...an accommodation is granted as required by law. CareBridge Health is a proud member of the Elevance … more
- CVS Health (Hartford, CT)
- …This critical role involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The ideal ... At CVS Health , we're building a world of health...high-priority defects and systemic issues impacting enrollment, billing, and claims processing + Deep-Dive Analysis & Root… more
- WellSense (Boston, MA)
- …and Enrollment entry. Ideal candidates will maintain a broad knowledge of corporate claims processing and enrollment entry rules for use in conducting all ... Claims Quality Assurance Inspector WellSense Health ...and Attributes:** + Deep and demonstrated knowledge of medical claims processing + Very strong attention to… more
- UCLA Health (Los Angeles, CA)
- …will be responsible for monthly random and focus audits of all claim processing activities to identify inaccurate claims adjudication. This will involve ... Take on a key role within a world-class, award-winning health system. Ensure the efficient delivery of award-winning patient...reviewing UB04 and CMS 1500 healthcare claims and adjustments for accuracy, and appropriate application … more
- Providence (Mission Hills, CA)
- … Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non-contracted providers. Providence ... **Description** The Senior Claims Specialist is responsible for the processing...hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New… more