- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for ... someone with extensive experience in medical claims processing and a strong ability to manage repetitive...Maintain compliance with relevant policies and regulations in the healthcare industry. * Provide support in behavioral health payment… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated… more
- Molina Healthcare (Rio Rancho, NM)
- …and scripting tools such as Python, Ruby or Perl. * Experience in the healthcare industry To all current Molina employees: If you are interested in applying for ... this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims , ... assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return, deny, or… more
- Health Care Service Corporation (Nashville, TN)
- …Job Qualifications:** + Experience with project management methodologies. + Experience of Healthcare industry - mainly pharmacy related claims . + Experience with ... Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders. This role… more
- TEKsystems (Moorestown, NJ)
- …services in the Accident & Health space. They specialize in claims processing, enrollment, compliance, and data-driven solutions that help clients navigate ... complex healthcare and insurance markets. About the Role We are...and detail-oriented professional to join our team as a Claims Data Analyst. This role is ideal for someone… more
- University of Washington (Seattle, WA)
- …Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is responsible for ... claims review, clearing claim edits, and timely and accurate...practice group for more than 3,000 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely (Days, M- ... record system Current List of non-MN States where Hennepin Healthcare is an Eligible Employer:/Current List of non-MN States...response to questions and issues related to benefits, billing, claims , payments, etc. * Answers questions (by phone and… more
- General Dynamics Information Technology (Fairfax, VA)
- …credentialing, and compliance processes. + Must have strong understanding of healthcare delivery systems, claims processes, and clinical operations. + ... **Public Trust/Other Required:** MBI (T2) **Job Family:** Administration **Skills:** Communication, Healthcare Operations,Provider Network Management,Provider Relations,Provider Services **Experience:** 5 +… more
- Mass Markets (Killeen, TX)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more