- MVP Health Care (Rochester, NY)
- …but equivalent experience may be substituted. + Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or ... At MVP Health Care, we're on a mission to create...improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a… more
- CVS Health (Pierre, SD)
- …professional, efficient, and customer-focused. **Required Qualifications** + 2-4 years of experience in health insurance and claims . + Ability to work ... At CVS Health , we're building a world of health...heart, each and every day. **A Brief Overview** The ** Claims Research** **Consultant** handles escalated customer service inquiries and… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… more
- Indian Health Service (Parker, AZ)
- …to the ICD-9-CM Coding volumes. Supervises the filing of all pending and completed health insurance claims and correspondence relative to the third party ... and directives, Providers Reimbursement Manual, Direct Dealings, Provider Letters, and Federal Health Insurance for the aged, Transmittals of bills, vouchers and… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
- Elevance Health (Plano, TX)
- …activities related to past due health insurance premiums and/or past due health insurance claims . **How You Will Make an Impact** : + Follows ... the purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt. +… more
- Insight Global (Burbank, CA)
- …for the Health Fund. The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer ... (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. Foster… more
- Mount Sinai Health System (New York, NY)
- …infrastructure. The ideal candidate will have had some experience working with health administrative/ insurance claims data and/or other large datasets. ... and Data Science, the Department of AI and Human Health , and the Center for Child Health ...precision medicine. We leverage causal learning to analyze administrative claims data, medical records, and clinical trial data, while… more
- CVS Health (Franklin, TN)
- …support + Familiarity with Final Expense, A&H, Medicare Supplement policy processing, or health insurance claims . + Experience working in a production ... At CVS Health , we're building a world of health...Processor is responsible for accurately reviewing and issuing new insurance applications within the New Business department. This role… more
- CDPHP (Albany, NY)
- …working in a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values… more