- Molina Healthcare (Covington, KY)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience...Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care… more
- Unum Group (Chattanooga, TN)
- …reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple ... Responsibilities** + Application of medical knowledge through assessment and synthesis of claim file information and ability to offer balanced conclusions + Ability… more
- The County of Los Angeles (Los Angeles, CA)
- …vehicle to transfer patient. Performs the patient's verification of medical insurance . Requirements SELECTION REQUIREMENTS: Successful completion of at least one of ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more
- Maersk (Norfolk, VA)
- …departments as needed. * Support in handling and closing out Casualty and /or claims pertaining to P&I or Hull Machinery insurance matters. * As applicable, ... manner. * Address Stevedore Damages and their close out until the point of a claim case being prepared for invoicing. * Participate in internal audit or vetting *… more
- Hoffman Construction Company (Lake Oswego, OR)
- …free primary care for you and your family through our dedicated clinics, health insurance , paid time off, and a generous retirement plan. + A culture rooted in ... and support In-House Associate General Counsel with contract-related needs and some claim handing of Hoffman Construction and its affiliates. The Staff Attorney will… more
- Manulife (ME)
- …process all aspects of auditing, formal appeal reviews and contestable claim review. + Audit applications underwritten to ensure underwriting decisions, ... assist management with book of business reviews. + Review contestable claims for potential misrepresentation during underwriting. + Maintain good relationships… more
- Sharp HealthCare (San Diego, CA)
- …Plan operational data sets including, but not limited to, eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt ... of health plan operations, health plan software configuration, enrollment and claim file processing and trading partner management, and data processing environments.… more
- Defense Health Agency (Silver Spring, MD)
- …the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Medical malpractice liability insurance is not required for federal civilian ... providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Intermountain Health (Boise, ID)
- …Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position ... + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system...Analysis + Healthcare Regulations + Process improvement + Health Insurance + CMS + Problem solving + Data Mining… more
- TEKsystems (Moorestown, NJ)
- …destination files to identify whether returned rejections should have resulted in claim creation + Review inbound Error Logs to ensure accurate claim ... each check run + Process refunds to carriers for claim overpayments + Update CPT and bundled code descriptions...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more