- Movn Health (CA)
- …experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level ... management + Deep knowledge of payer reimbursement methodologies and claims adjudication + Proficiency with multiple EHRs...plus + Prior experience in cardiovascular care or digital health startups is a strong plus About You +… more
- Ardon (Portland, OR)
- …software system work queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans, ... be able to accurately utilize applicable computer software and equipment for pharmacy claims processing . Working conditions Work is performed primarily at a… more
- TEKsystems (West Des Moines, IA)
- …a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of ... issues, repetitive errors, and payer trends to expedite claims adjudication EPIC experience Experience with payer...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Port of Seattle (Seattle, WA)
- …+ You will provide daily management, program oversight, and confidentiality to the processing and adjudication of claims and legal documents associated ... and internal auditing personnel. + You will ensure the claims record management system interfaces with multiple internal and...risk mitigation strategies. You will also partner with the Health & Safety Program Managers to review and analyze… more
- Independent Health (Buffalo, NY)
- …+ One (1) year of progressive leadership/management responsibilities required. + Experience processing online Medicare Part D claims or implementing government ... regulatory compliance in benefit implementation, formulary administration, pharmacy claim adjudication , regulatory reporting (eg, PDE, EOB files), and/or audit… more
- MyFlorida (Miami, FL)
- …. Requisition No: 860738 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY CASE RECORD ... Date: 09/20/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) DEPARTMENT OF HEALTH DIVISION OF DISABILITY DETERMINATIONS OPEN COMPETITIVE OPPORTUNITY THIS… more
- Billings Clinic (Billings, MT)
- …preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims ... a neat and organized condition. * Processes complete prescription claims including proper adjudication /reconciliation, insurance verification, prior… more
- Trinity Health (Howell, MI)
- …+ Analytical ability to affective and efficiently resolve registration, insurance and claims processing issues. + Demonstrated knowledge of revenue cycle ... codes submitted by service departments and physicians to assure accuracy for claims submission and adjudication of reimbursement. Verifies insurance eligibility… more
- Meriter-UnityPoint Health (Madison, WI)
- …inputting prescriptions into the computer system, ensuring accurate and efficient adjudication of online claims , counting/measuring and/or reconstituting drug ... information for patients using Meriter Outpatient Pharmacy at discharge, processing test claims for discharge medications, and...collection and physical delivery of the prescriptions. Why UnityPoint Health ? + Commitment to our Team - For the… more
- Henry Ford Health System (Troy, MI)
- …This includes but is not limited to: Coordinating timely and accurate claims submission for adjudication Coordinating and developing timely denial follow ... the designated area of responsibility to provide timely billing processing and ensure accurate response to customers. Builds and...to prevent denials. Oversee follow up to ensure all claims are resolved or responded to by the payers.… more