- US Tech Solutions (Columbia, SC)
- …in data collection/input into system for clinical information flow and proper claims adjudication . Demonstrates compliance with all applicable legislation and ... health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
- US Tech Solutions (Columbia, SC)
- …in data collection/input into system for clinical information flow and proper claims adjudication . Demonstrates compliance with all applicable legislation and ... health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
- US Tech Solutions (Columbia, SC)
- …in data collection/input into system for clinical information flow and proper claims adjudication . Demonstrates compliance with all applicable legislation and ... health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
- Ascendis Pharma (Princeton, NJ)
- …vendors and internal teams to ensure accurate, timely data for contract performance, claims processing , and payments. . Reconcile monthly rebate payments and ... . Investigate disputes, resolve variances, and assess duplicate discounts. . Lead adjudication of claims and validation processes; manage payments, purchase… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and ... systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned. + Keeps… more
- General Dynamics Information Technology (Fairfax, VA)
- …+ Strong knowledge of healthcare delivery systems, managed care operations, claims processing , and quality improvement methodologies. + Experience leading ... security). + Proficiency with healthcare management systems (provider enrollment systems, claims adjudication systems) and data analytics tools (Power BI,… more
- Executive Office for US Attorneys and the Office of the US… (Hammond, IN)
- …of Indiana. Typical work assignments will include: Examining, preparing, and processing a variety of technical legal documents, eg, complaints, motions, orders, ... Security Requirements: Initial appointment is conditioned upon a satisfactory preemployment adjudication . This includes fingerprint, credit and tax checks, and drug… more
- MyFlorida (Jacksonville, FL)
- …The incumbent's primary responsibility is to perform support duties relating to the processing of Social Security disability claims . This position requires the ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 860737 Agency: Department of Health Working Title: OPS OPERATIONS ANALYST I - 64801493… more
- CenterWell (Savannah, GA)
- …Keeps filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct ... **Become a part of our caring community and help us put health first** The Medication Dispensing Technician is responsible for ensuring that the Medication room runs… more
- ManpowerGroup (Houston, TX)
- …configuration of the system for provider contracts, benefits and fee schedules Claims adjudication experience (preferred) Skilled in using technology to provide/ ... and external auditing and real-time monitoring activities related to the Health Plan's regulatory and contractual requirements in accordance with the Compliance… more