- Robert Half Office Team (Hoffman Estates, IL)
- …years detail oriented customer service experience; financial services, insurance, banking, healthcare claims /billing, or risk/compliance is a plus Administrative ... to CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/ claims -NOT a call center position) Schedule: Mon-Fri, 8AM-4PM,… more
- Robert Half Legal (Pennington, NJ)
- …in healthcare litigation, and a proven ability to manage claims and collaborate effectively within legal and billing teams. Responsibilities: * Investigate ... * Must hold an active New Jersey bar license. * Proven experience in healthcare litigation, preferably involving claims recovery. * Knowledge of auto insurance… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
- Mount Sinai Health System (New York, NY)
- …and executive-facing roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ... finance and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance...(eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective… more
- Molina Healthcare (Carson City, NV)
- …trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement ... test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational realities. + Creates succinct summaries… more
- Prime Therapeutics (Springfield, IL)
- …5 years of relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design, and/or epidemiology + ... is responsible for the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety of data and outputs… more
- AmeriHealth Caritas (Charleston, SC)
- …maintenance knowledge. + Required understanding of and experience related to healthcare claims payment configuration process/systems and its relevance/impact on ... years Medicaid experience preferred. + 2 to 5 years of claims analysis experience in a healthcare environment preferred. + Healthcare billing and coding… more
- City of New York (New York, NY)
- …obligations, regulatory requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data ... Validation: Verify the accuracy, completeness, and timeliness of daily healthcare claims payment data submitted by the health plan prior to authorize payment.… more
- Geisinger (Wilkes-Barre, PA)
- …Provide expertise on litigation across the system, maintaining broad knowledge of healthcare and claims management practices, including credentialing and human ... Counsel is responsible for providing designated legal services to the healthcare system. The role involves representing health system entities and providers… more
- Robert Half Accountemps (Boston, MA)
- …Requirements Required Qualifications + 3-5 years of experience in auditing, compliance, or claims analysis within a healthcare setting + Proficiency in Microsoft ... Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts -...Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a… more