- Commonwealth Care Alliance (Boston, MA)
- …maintaining ETL workflows and data integration processes. + Strong understanding of healthcare data, including claims , encounters, diagnoses, and provider data. ... of data workflows, business logic, and submission policies. + Partner with IT, claims , and enrollment teams to improve systems integration and enhance the risk… more
- Baylor Scott & White Health (Austin, TX)
- … Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with Healthcare claims , enrollment and pharmacy data is preferred + Knowledge of ACA, ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Claims Supervisor? At HCA Healthcare , you come first. HCA Healthcare has ... Bachelor's degree required + 5+ years of experience in claims ' management, preferably in healthcare and preferably...of experience in claims ' management, preferably in healthcare and preferably in a multi-state environment; knowledge of… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a East Florida Division Claims Administrator? At HCA Healthcare , you come first. HCA Healthcare has ... be willing to relocate to this area.** **Benefits** HCA Healthcare offers a total rewards package that supports the...We are looking for a dedicated East Florida Division Claims Administrator like you to be a part of… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare , you come first. HCA Healthcare has ... members over the course of three years. **Benefits** HCA Healthcare offers a total rewards package that supports the...difference. We are looking for a dedicated Senior Property Claims Supervisor like you to be a part of… more
- Cognizant (Blaine, MN)
- …crucial role in designing, developing and implementing OnBase solutions to enhance our healthcare claims processing systems. With a focus on Medicare and ... will:** - Lead the design and development of OnBase solutions to optimize healthcare claims processing. - Collaborate with cross-functional teams to gather and… more
- Molina Healthcare (Iowa City, IA)
- …EXPERIENCE:** 3+ years of experience in claims as Adjuster or claims examiner in the healthcare field **PHYSICAL DEMANDS:** Working environment is ... accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure… more
- Prime Healthcare (Ontario, CA)
- …technology and data to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee Health Plans. Through in-depth ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/227013/vice-president-of-health-plan-operations-and- claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime … more
- Cedars-Sinai (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
- Atlantic Health System (Morristown, NJ)
- …+ Juris Doctor (JD) degree + Admission to NJ Bar + 3+yrs of relevant healthcare claims experience + 2+yrs of relevant Medical Malpractice litigation experience + ... Healthcare lawyer with the ability to handle a...ability to handle a variety of matters related to claims , policy development, and professional review activities. Responsibilities +… more