- TEKsystems (Chattanooga, TN)
- …intricate router work, fee schedules, sliding fee scales, and payment plans. - Claims and router experience are also considered valuable for the position. Required ... Work Queue Build, Epic certified, Epic, Build, Epic PB Claims , Epic PB Claims Build, Router Experience,...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Adecco US, Inc. (Baton Rouge, LA)
- …and routing of all incoming United States Postal Service mail. + Manage the claims loading process, as well as verifying paper and electronic claim receipts. + ... standards. + Monitor claim systems for optimal performance to ensure that claims are processed within company standards. + Assist in testing and implementing… more
- Insight Global (Washington, DC)
- …a strong quantitative analysis background and hands on experience in risk or claims analysis. The ideal candidate will have claim scoring experience in some capacity ... , medical, manufacturing, etc.) They will be leveraging a claims scoring system that they have developed and working...they have developed and working on statistical models on claims , regression analysis, normalizing data, etc. We are a… more
- Evolent (Lansing, MI)
- …a related discipline) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related ... healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various sites of… more
- Elevance Health (Indianapolis, IN)
- …sponsorship._ The **Researcher** is responsible for prospective and retrospective claims based health economic and/or epidemiologic research activities under the ... analytical and statistical techniques, including hands-on analysis of administrative claims data to support study execution and interpretation of results.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Elevance Health (Seattle, WA)
- …Primary duties may include, but are not limited to: + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- City of New York (New York, NY)
- …with internal personnel for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize agency reimbursement by ... ensuring all expenditures are captured and reported accurately in claims . Reconcile DOHMH submitted claims after state...entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per… more
- Henry Ford Health System (Troy, MI)
- …2 years' experience reviewing and processing the intake of appeals, grievances, and claims inquiries. + Mail screening required for all lines of business with ... contracted and noncontracted provider appeals that include knowledge of medical appeals, claims investigation and denial reasons within the claims payment… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
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