- Mayo Clinic (Rochester, MN)
- …healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent ... for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other… more
- Mayo Clinic (Phoenix, AZ)
- …healthcare terminology and CPT-ICD10 codes; Basic knowledge of and experience in insurance verification and claim adjustments; General knowledge of Bariatrics ... not limited to: appointment scheduling; calendar and intake program coordination; insurance verification; and medical records management. This is an intermediate… more
- The Cigna Group (Bloomfield, CT)
- …to communicate clearly with patients, payors, and external partners. - Experience processing major medical and pharmacy claims . - Understanding of third-party ... and expertise. Responsibilities - Lead billing accuracy and performance by ensuring claims are submitted correctly and on time, reducing denials and improving… more
- Adecco US, Inc. (Frankfort, KY)
- …administrative functions. Administrative duties such as data entry, filing, mail processing , answering phones and taking messages, and general office duties. This ... position will assist the Property Claims Section with property losses. Work with customers, internal staff, and claims adjusters. Excellent organizational and… more
- Humana (Little Rock, AR)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... or equivalent work experience + Minimum 2 years of investigative and/or claims experience + Knowledge of healthcare payment methodologies + Strong organizational,… more
- New York State Civil Service (Albany, NY)
- …technology and business process view. Interfaces are critical to UI Program claims , payments, fraud prevention, and federal and state reporting.* Support detailed ... and business process view. Interfaces are critical to UI Program claims , payments, fraud prevention, and federal and state reporting.* Deliverable analysis… more
- Fiserv (Omaha, NE)
- …identifying new revenue streams. + Negotiate settlements for SLAs and other financial claims - manage the client "bank", to trade small-medium financial claims ... has accurate and up to date documentation of the client architecture and processing environment, product matrix, and custom processes. **Experience you will need to… more
- International Paper (Bedford Park, IL)
- …accuracy of shared files and databases. + Ensures timely and accurate processing of human resource-related forms; researches and furnishes employee information to ... related to FMLA, disabilities, and return to work. + Processes all unemployment-related claims or other activities related to unemployment claims . + Surfaces… more
- Elevance Health (Manchester, NH)
- …analyzing and processing member complaints in accordance with policies and claims events to determine the extent of the company's liability and entitlement. ... providers and/or others for resolution or affirmation of previously processed claims . + Ensures appropriate resolution to inquiries, grievances and appeals within… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …Design, build, and maintain scalable ETL/ELT pipelines to ingest healthcare data ( Claims , EMR/EHR, Pharmacy, and Lab results). Model Development: Develop and deploy ... in a data-centric role, specifically within the healthcare or health insurance industry. Technical Stack: * Languages: Proficiency in Python (Pandas, Scikit-learn,… more
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