- Commonwealth of Pennsylvania (PA)
- …health cases are referred for counseling, psychological, psychiatric, and medical services. Additional responsibilities include writing and preparing psychological ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more
- MyFlorida (Tallahassee, FL)
- …OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... OPS MEDICAL DISABILITY EXAMINER - 64802096 Date: Oct 2, 2025...+ In-depth training provided + No work to take home or emails to check on weekends or after hours… more
- Highmark Health (Pittsburgh, PA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... evaluate claim processes specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of… more
- Bon Secours Mercy Health (Boardman, OH)
- …drug to a patient or patient representative and assisting with insurance claim processing . Performing diagnostic laboratory testing as defined in state ... Robotic Dispensing Systems Prioritization Performance Improvement Packaging Medications Insurance Claim Processing Compounding Medications Attention to Detail… more
- HCA Healthcare (San Antonio, TX)
- …regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the ... **Description** **Introduction** This Work from Home position requires that you live and will...based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting… more
- TEKsystems (Denver, CO)
- …be responsible for overseeing all manual data processes within Charge Entry & Claims Submissions processes. + Create weekly and monthly charge reports from data that ... way that it can then be submitted into a claim . This is a complex process - moving data...guidelines + Once the data is cleaned up, the claims submissions process is heavily automated + This is… more
- Commonwealth of Pennsylvania (PA)
- …near Michaux State Forest, South Mountain Restoration Center is a skilled nursing home facility that provides long-term care and is operated by the Commonwealth of ... + A conditional offer of employment will require a medical examination. + This position falls under the provisions...US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more
- Covenant Health Inc. (Knoxville, TN)
- …area (https://www.covenanthomecareandhospice.com/locations/) . Since 1978, we have provided quality home healthcare to allow patients to live with comfort, dignity, ... Field Staff Supervisor (CFSS) ensures the overall coordination of home health and hospice services provided to all clients...approves all orders for tracking purposes and route to Medical Records to be sent for physician signature. Ensures… more
- Commonwealth of Pennsylvania (PA)
- …psychological strengths and difficulties through multiple approaches, such as reviewing medical and social histories, carrying out personal interviews, and observing ... Duties will involve close collaboration with staff from psychiatric or medical professionals, and other team members to create individualized treatment strategies.… more
- The Cigna Group (Bloomfield, CT)
- … medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, ... ** Medical Principal Job Description** **Position scope:** Primarily regional...management, case management, network, contracting, pharmacy, and service operations ( claims ). This is an entry to mid-level position for… more