- Prime Healthcare (Lynwood, CA)
- Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services ... is responsible for gathering, reviewing, and approving internal billing claims ; setup, verification and updating insurance account information; verifying… more
- Molina Healthcare (Las Cruces, NM)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (ID)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... as a QNXT SME. + Networx / Pricer and claims experience is highly preferred. + SQL is highly...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Haverhill, MA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Molina Healthcare (GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... conversion of new and existing health plans. + GA Medicaid claims / reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education**… more
- Molina Healthcare (Augusta, GA)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume… more
- Molina Healthcare (Columbus, OH)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + 5 years experience in claims review and member and provider appeal resolution. + Experience reviewing all types ... of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Maxim Healthcare (Columbia, MD)
- Maxim Healthcare is hiring for a Reimbursement Specialist who will serve as liaisons between office partners, patients and payers. Daily responsibilities include ... reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts. Why Join Maxim: + Competitive… more
- HCA Healthcare (Nashville, TN)
- …with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...monitor for potential compliance risks. + Perform reviews of claims data and clinical records to ensure compliance. +… more
- HCA Healthcare (Pensacola, FL)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...will do in this role: + You will transmit claims to billing vendors, process/ correct insurance rejects, process… more