- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Humana (Montpelier, VT)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... skills to make an impact** **WORK STYLE:** Work at home /remote with 15-20% travel required **WORK HOURS:** Regular business...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more
- Mass Markets (KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more
- Henry Ford Health System (Detroit, MI)
- …Process and coordinate the resolution of assigned work queues in Epic to assist in the processing of claims . + Serve as a resource to inform patients and their ... services including areas such as hospitalization, professional services, pharmacy, home health, rehabilitation, DME and organ procurement limitations. + Coordinate… more
- Herc Rentals (Bonita Springs, FL)
- …Life Insurance and LTD, Participant Initiated Status Changes, and Dependent Audits + Processing Qualified Medical Child Support Orders + Assisting with Annual ... maintain systems, services and administrative controls to support all benefit plans + Processing of Life Insurance and Accidental Death and Dismemberment claims ,… more
- Montana Tech (Butte, MT)
- …(eg, MODFLOW-NWT, MODFLOW-USG, or MODFLOW 6) and associated pre- and post- processing software. + Strong technical writing and communications skills demonstrated ... reports and presentations listed in your resume. + Proficiency with common word- processing and spreadsheet software (eg, Microsoft Office). + A valid Montana… more
- LA Care Health Plan (Los Angeles, CA)
- …management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, ... clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other...the inpatient review team as necessary to ensure timely processing of concurrent reviews. Duties Provides the primary clinical… more
- Sunrise Senior Living (San Mateo, CA)
- …regulations. **Risk Management** + Partner with the department coordinators in the processing of light duty and worker's compensation claims in order ... Sunrise quality service standards. Key areas of responsibility include processing payroll, daily time and attendance and human resource...to expedite return to full duty, close the claims , promote positive team member relations, and to reduce… more
- New York eHealth Collaborative (New York, NY)
- …as machine learning, multiple regression, multiple imputation, natural language processing , geospatial, and temporal modeling. + Develop database and statistical ... large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ETL/ELT pipelines,… more
- Spokane County (Spokane, WA)
- …and current employer-paid health and related benefit contribution rates (including medical , dental, life insurance, long term disability, and leave). The actual ... reports, minutes, agendas, contracts, bids, etc. using typewriter or word processing program. + Proofreads and corrects drafts for grammar, punctuation, spelling,… more