- AmeriHealth Caritas (Newtown Square, PA)
- **Job Summary** Under the supervision of the Manager of Associate Relations, the Intake and Case Specialist is responsible for managing low‑acuity performance, ... supports operational activities across all business units, including unemployment compensation claims , case intake and triage, and responding to routine inquiries or… more
- Moses/Weitzman Health System (CT)
- …knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal process, understanding of managed ... and performs all aspects of accounts receivable collection and reprocessing of claims . **ROLE AND RESPONSIBILITIES** + Audits and resolves accounts with credit… more
- Walmart (Jackson, MO)
- …it. A Walmart Associate Optometrist is the clinical partner to the Vision Center Manager , and core to our mission of advancing eyecare affordably for everyone. About ... aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates… more
- Financial Partners Credit Union (Downey, CA)
- …and Claims : + Review and follow up on letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when ... and/or collateral. + Recommend accounts for legal action or repossession to the manager for approval. + Assign accounts for field chase when necessary. +… more
- Guidehouse (Boston, MA)
- …Testing** : Confirm HL7/FHIR message integrity across labs, imaging, MIIS, PBM claims , and SOPS Meta. + **Security Testing** : Validate role-based access, HIPAA, ... AA standards for behavioral health and vulnerable populations. + **Charge and Claims Testing** : Validate financial workflows and payer adjudication. + **Parallel… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Responsibilities:** Under the general supervisor of the Manager Accounts Receivable, the analyst is responsible for identifying, validating, submitting and ... 3 years knowledge of medical billing ICD-10, CPT DRG claims coding Revenue Code Mapping, Data Analysis, Data warehousing,...Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day… more
- Waystar (Atlanta, GA)
- …Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for establishing new client payer edit configurations. ... changes and compliance issues, focusing on government/payer requirements for claims billing & coding/authorization * Leverage analytical tools (Excel, PowerBI,… more
- Henkel (Stamford, CT)
- …is looking for its new Clinical Study Coordinator to execute clinical studies for claims support and development of new products. If you are interested in supporting ... Job + Steer and coordinate clinical studies to strengthen claims support for the HCB NA R&D Team. Duties...and Tasks + With the support of the Clinicals manager : + Executes well designed clinical studies per written… more
- State of Colorado (Pueblo, CO)
- …offers permanent employees a variety of benefits including medical, dental, life and disability insurance , as well as a comprehensive leave program. Please click ... works under the supervision and direction of departments Clinical Manager (HP V) and is trained by the Clinical...+ Employer supplemented Health Savings Account + Paid life insurance + Short- and long-term disability coverage… more
- Medtronic (Houston, TX)
- …insurance , Health Savings Account, Healthcare Flexible Spending Account, Life insurance , Long-term disability leave, Dependent daycare spending account, ... field team + Leads coordination of new-hire training with accountability to hiring manager (DM or DSM) + Responsible for new hire field sign-off + Understands… more