- Cedars-Sinai (Los Angeles, CA)
- …with the ANSI X12 837 format used for electronic submission of professional healthcare claims . Understanding of the key segments, including: + ISA/GS/GE/ST ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more
- Dignity Health (Bakersfield, CA)
- …responsible for the detailed and accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims ... procedures. **Job Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2 years in a senior or… more
- NTT DATA North America (Plano, TX)
- …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in ** Healthcare Claims Processing** + **Previously performing - in P&Q ... overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- CVS Health (Franklin, TN)
- …experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three ... customer experience. **Education** + Bachelor's Degree and/or equivalent work experience in claims training and/or claims knowledge/ healthcare training… more
- Dignity Health (Bakersfield, CA)
- …School Graduate or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably ... **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the...(eg, QNXT, EZCAP). **Preferred Qualifications:** + Bachelor's degree in Healthcare Administration, Business, Finance, or related field or equivalent… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... 011250 CCA- Claims Hiring for One Year Term **_This position...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Axis (Short Hills, NJ)
- …for its North America Claim Team. This role involves managing primary and excess healthcare liability claims for AXIS US policies. How does this role contribute ... to our collective success? You will handle highly complex healthcare liability claims by verifying coverage, conducting investigations, developing resolutions,… more
- Guidehouse (San Marcos, CA)
- …+ Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment. + Perform effectively when confronted with emergency, critical, ... / GED. + 0-2+ year's experience in office, business, operations, customer service or healthcare field. **What Would Be Nice To Have** **:** + 6+ months of payment… more
- Molina Healthcare (Lexington, KY)
- …DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more