- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... + 3-5 years of experience in auditing, compliance, or claims analysis within a healthcare setting +...Qualifications + Experience with MMQ/MDS assessments + Background in claims and coding audits + Strong presentation… more
- CDPHP (Latham, NY)
- …and adjustments. In addition, the incumbent will utilize and interpret Claims Operations Policies and Procedures, coding methodologies, Plan contract ... these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding … more
- Insight Global (Somerset, NJ)
- Job Description Insight Global is looking for a Medical Claims Biller for one of our healthcare clients in Somerset, NJ. The candidate will oversee ... the specific healthcare service provided. They must have experience following medical claims and updating patient data. The candidate should also understand… more
- Dignity Health (Bakersfield, CA)
- …a lead role, with strong project team management skills. - Advanced knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research...**Job Requirements** **Minimum Qualifications:** - Bachelors degree in Business, Healthcare Administration, or a related field or experience in… more
- Dignity Health (Bakersfield, CA)
- …within a managed care or healthcare environment. + Strong knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices ... **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the...as SQL, SAS + Previous experience working directly with healthcare providers or within a provider network setting +… 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 ... Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2...advanced role + Expert knowledge of CPT, ICD-10, HCPCS coding , and medical terminology. + Associate's Degree… more
- ManpowerGroup (Marquette, MI)
- …transactions, or claims - or billing-related processes. - Preferred: Knowledge of medical billing, coding (CPT, HCPCS, ICD-10), and claims methodologies ... in compliance with policies and regulatory guidelines. - Maintain knowledge of claims submission, coding rules, and benefit plan administration. - Resolve… more
- Humana (Bismarck, ND)
- …or equivalent. + Minimum of two years' proven experience in processing and adjudicating medical claims , with a track record of accurate and timely claim review ... compliance with organizational policies and applicable regulations. + Solid understanding of medical coding terminology, including CPT, ICD-9, and ICD-10 codes.… more
- Marshfield Clinic (Marshfield, WI)
- …current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology. **Preferred/Optional:** Associate ... (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology. **EXPERIENCE** **Minimum… more
- MVP Health Care (Schenectady, NY)
- …looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical claims and attention to detail this is the opportunity for you. **What's in ... care experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. +...responsibilities:** + Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess… more