- Point32Health (Canton, MA)
- …delivery with a working knowledge in one or more operational areas including Claims processing , Provider Credentialing & Reimbursement, Product & Benefit Design, ... **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving… more
- The Cigna Group (Bloomfield, CT)
- …to utilization management, case management, network, contracting, pharmacy, and service operations ( claims ). This is an entry to mid-level position for a physician ... interested in a career in health care administration. **Major responsibilities and required results:** + Performs benefit-driven medical necessity reviews for… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number Y4954L Department HEALTH SERVICES Opening Date 01/27/2022 + Description + Benefits + Questions Position/Program ... closure without notice. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES: The Los Angeles County Department of ...and in place for proper infiltration of tissue during processing . Inspects and positions block with specimen for best… more
- Guidehouse (Atlanta, GA)
- …+ Strong understanding of Medicaid system modules, including eligibility, claims processing , provider enrollment, member management, prior authorization, ... healthcare reform and its impact on state Medicaid, public health or state and local health and...validation activities across key modules such as provider, member, claims , and prior authorization. + Translate complex technical and… more
- Ventura County (Ventura, CA)
- …knowledge of office computer systems, including performance management systems, electronic health records system and word processing software. + Initiates, ... clerical work methods and techniques; and + practice management system for processing reimbursement claims for healthcare services, scheduling, and registering… more
- NTT DATA North America (Dallas, TX)
- …of leading Health Plans in US. Responsibilities: + Analyzing and processing provider transactions in accordance with plan provisions. + Should follow the policy ... school Diploma or equivalent. + 3+ years of experience in a Healthcare processing (Provider Data Management preferred, Claims , Credentialing, or other Healthcare… more
- Fiserv (Hagerstown, MD)
- …Experience in problem-solving abilities. + 1+ years' experience in managing complex claims and/or cases. + Familiarity with debit processing , dispute resolution, ... + Technical proficiency and familiarity with IRS 6050W tax processing . + Experience in utilizing the internal dispute system...points for a variety of rewards. + Prioritize your health with a variety of medical, dental, vision, life,… more
- Mass Markets (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... information across systems to support customer needs + Accurately document and process claims and inquiries + Guide customers through options to find the best… more
- Mass Markets (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... other departments as needed + Accurately document customer interactions and process claims + Conduct needs-based conversations to identify the best solutions for… more
- AIG (Charlotte, NC)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the ... heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more