- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... of Insurance and Financial Services (DIFS), Michigan Department of Health and Human Services (MDHHS), National Committee for Quality Assurance (NCQA), Office… more
- Highmark Health (Pittsburgh, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... the healthcare system, helping them choose and use their insurance , connecting them with the right tools and resources,...RBE models), especially CM delegation + Familiarity with major health care data sources ( claims , clinical) and… more
- Highmark Health (Boston, MA)
- …knowledge about the shifting healthcare environment including trends concerning health insurance , healthcare delivery, provider relationships and regulatory ... coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Danaher Corporation (New York, NY)
- …global insurance placements, loss mitigation, contractual risk transfer, and claims management. This position reports to Danaher's Vice President, Insurance ... Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Corporate Insurance Manager is responsible for supporting Danaher's global … more
- LA Care Health Plan (Los Angeles, CA)
- …and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. ... Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position...(Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
- Trinity Health (Ypsilanti, MI)
- …timely and appropriate manner including assisting with submission of patient centered claims to insurance carriers. Interprets data, draws conclusions, reviews ... in a customer service role with financial responsibilities is required. Experience in health care, insurance , or managed care industries is highly preferred.… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Time.* **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the ... . + Coordinates periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality… more
- Sanford Health (Fargo, ND)
- …full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...and dispute resolution strategies; assisting in the oversight of insurance verification and claims history processes; identifying… more
- Guthrie (Sayre, PA)
- …more streamlined processing. Prepares reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as...needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and provides… more
- Travelers Insurance Company (Walnut Creek, CA)
- …customer service experience OR Bachelor's Degree. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more