- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits in assigned audit… more
- Insight Global (Minnetonka, MN)
- …Excellent written and verbal communication skills Nice to Haves: Experience working with healthcare systems including claims payments, call centers, or claims ... models and adversarial testing methodologies Exposure to regulatory frameworks relevant to AI in healthcare Basic understanding of information security principles more
- GuideOne Insurance (Denver, CO)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...Medical, dental and vision plans to meet your unique healthcare needs + Wellness incentives + Generous time off… more
- Elevance Health (Indianapolis, IN)
- **Director I Claims ** **Location** : _This role requires associates to be in-office_ **_3 days per week_** _, fostering collaboration and connectivity, while ... is granted as required by law._ The **Director I Claims ** is responsible for directing the auditing of claim...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* 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
- TEKsystems (St. Louis, MO)
- …for healthcare payers, focusing on product/benefit setup, enrollment, and claims processes. Key duties include configuring the Facets healthcare ... data analysis and Facets-specific web services. * Strong understanding of the healthcare payer domain, including claims processing, benefits, membership and… more
- Cognizant (Malvern, PA)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...* Good skills at problem resolution specifically related to healthcare claim adjudication. * Possess ability to work at… 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
- IQVIA (Phoenix, AZ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this...good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- Robert Half Accountemps (Canton, OH)
- Description Contract Medical Billing/ Claims /Collections Specialist Location: Remote, Northeast Ohio (Canton, OH-Based) We are seeking a detail-oriented and ... experienced Medical Billing/ Claims /Collections Specialist to join our talented team on a...guidelines while adhering to relevant industry standards. + Educate healthcare providers on coding specificity and quality indicators to… more