- Providence (OR)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... health care or general risk management, and insurance claims handling. **Preferred qualifications for this position include:** * Certified Professional… more
- Providence (CA)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not… more
- Guardian Life (Pierre, SD)
- As the **Behavioral Health Clinical Consultant** resource in disability claims , you will be responsible for reviewing and analyzing a wide range of medical ... Health background preferred. Will consider LCSW or other licensed Behavioral Health professional with disability claims experience. + Excellent verbal and… more
- Atrius Health (Chelmsford, MA)
- *Explore opportunities at Atrius Health *, part of the Optum family of businesses. We're an innovative healthcare leader, delivering an effective system of connected ... primary care providers and clinicians work with hospitals, community specialists and nursing facilities. Be part of our vision...together.* *SUMMARY* *This position is looking for a Medical Claims Representative to join the Self Pay team at… more
- TEKsystems (Phoenix, AZ)
- …to transition from the shop floor to a dynamic office environment? Hiring Mechanical Claims Specialists to join our growing customer contact team. What You'll ... Mechanical Claims Specialist - $25 hour + (depends on experience) Location: Remote /Hybrid | Must be Located in Phoenix, Arizona (2-weeks of training onsite) Are… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... well as a focus on collaborative business relationships, value-based care, population health , or disease or care management. Medical Directors support Humana values… more
- Sedgwick (Harrisburg, PA)
- …Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim ... caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor… more
- Trinity Health (Livonia, MI)
- …If applicable, telecommuting (working remotely), must be able to comply with Trinity Health 's and the Region/HM Working Remote Policy. **Hourly Pay Range:** ... analyzing physician/provider documentation contained in Complex Outpatient (CO)/Ambulatory Surgery health records to determine the principal diagnosis, secondary diagnoses,… more
- RWJBarnabas Health (Oceanport, NJ)
- …- (Medicare) RemoteReq #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding Quality Pay ... Job Title: Inpatient Coding Quality Officer III - (Medicare) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000183242 Status: Full-Time… more
- Sharp HealthCare (San Diego, CA)
- …Concurrent, Retrospective and Claims Review and Care Management services for Sharp Health Plan members who are identified as having complex health or ... performing effective acute and ambulatory case management, utilization management and claims review activities, to ensure appropriate, cost-effective care to Sharp … more