- Centene Corporation (Columbus, OH)
- … (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including ... Excel and Access preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care… more
- NTT America, Inc. (Plano, TX)
- …NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the ... these roles you will be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim's information. + Determine accurate… more
- NTT DATA North America (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United States ... these roles you will be responsible for: Review and process insurance claims . Validate Member, Provider and other Claim's information. Determine accurate payment… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Carrington (Jackson, MS)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... within one or more default related areas such as Foreclosure, Bankruptcy, Default MI Claims , Loss Mitigation, Recovery, etc. + Previous FHA, VA, USDA and PMI … 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. ... globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and… more
- City and County of San Francisco (San Francisco, CA)
- …who passed probation;* AND + EXPERIENCE: Five (5) years of experience billing, claims processing, and/or collecting healthcare service reimbursements or medical ... The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its… more
- R1 RCM (Boise, ID)
- …collaboration. **It's** **a plus if you bring:** + Experience with healthcare operations/RCM (FHIR/HL7, claims , denials) and/orregulated industries with ... R1 is thrilled to introduce R37 committed to transforming healthcare financial performance, so providers can focus on delivering exceptional care. R37 is pioneering… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Prime Therapeutics (Richmond, VA)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more