- IQVIA (Phoenix, AZ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
- 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
- FlexStaff (Chappaqua, NY)
- …Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... excel at team management, and have deep expertise in healthcare insurance billing, this is your chance to make...Qualifications: - Minimum of 3-5 years of experience in medical insurance billing and claims management, with… 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
- Medical Mutual of Ohio (OH)
- **In this blended role, processes routine to moderately complex claims , while handling inbound calls and written inquiries (multiple channels) from members, ... systems, applications, and reference tools, processes routine to moderately complex claims and adjustments, while providing customer service via inbound call queues… 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
- CHS (Clearwater, FL)
- …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ...and procedures. + Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to… 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
- LogixHealth (Dania, FL)
- …Excel, and Outlook Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We ... revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting… more
- Cognizant (Malvern, PA)
- …years claim processing is required. * Knowledge of physician practice and hospital coding , and medical terminology, CPT, HCPCS, ICD-10 * Experience making ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
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