- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- Banc of California (Santa Ana, CA)
- …from fraud-related losses and improve customer experience: ACH & Check Claims /Disputes, Deposit Reviews from ATM/Mobile/RDC/In- Mail deposits, Mobile & Online ... + **Health & Well-Being:** We offer comprehensive insurance options including medical , dental, vision, AD&D, supplemental life, long-term disability, pre-tax Health… more
- Quad (Sussex, WI)
- …Slicer Dicer, Radar, Record Viewer, and Dashboard. + Applies comprehensive healthcare claims knowledge, ensuring data integrity when importing medical and ... prescription claims data, including mapping, scrubbing, and verification. + Leverages healthcare expertise in ambulatory settings, providing accurate patient care data, supporting outpatient procedures, and ensuring adherence to clinical guidelines. +… more
- Prysmian (Highland Heights, KY)
- …status, disability, military service or veteran status, pregnancy, parental leave, medical conditions, or any other characteristic protected by applicable federal, ... state or local laws. Prysmian will endeavor to make a reasonable accommodation for any disclosed physical or neurological condition or disability of a qualified applicant unless the accommodation would impose an undue hardship on the operation of our… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …of a team with minimal direct supervision **Qualifications** + 1+ years of healthcare, claims , or medical administrative work experience + 1+ years of recent ... literate (Microsoft Windows, keyboarding skills, strong systems aptitude) + Medical and Healthcare terminology knowledge + Exceptional communication skills +… more
- Children's Hospital Los Angeles (Glendale, CA)
- …and or outpatient billing for commercial and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical ... coding (such as ICD-10, CPT) is essential. Experience with electronic health record (EHR) systems and billing software is also beneficial. Knowledge of CCS, Medi-Cal, GHPP. The ability to analyze financial documents, identify discrepancies, and resolve billing… more
- Merck & Co. (Rahway, NJ)
- …patient level healthcare data, including but not limited to administrative claims , EHR/EMR, disease registry, and public-use databases. Develop machine learning ... evidence.Collaboration And Communication:Work closely with stakeholders in outcome research, medical affairs, statistical programming, and IT functions to provide… more
- Lyric (Newtown Square, PA)
- …consult with and inform Lyric's clients. + Familiarity with affordability, claims operations, payment integrity, utilization management, medical policy and/or ... opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric… more
- Towne Park (Wildomar, CA)
- …the policy guidelines. **Benefits:** Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Bank OZK (Little Rock, AR)
- …the Workers Compensation carrier within the appropriate timeframe and follows through with claims to ensure medical payments and employee payrolls are accurately ... resolved. + Ensures that monthly, special and annual open enrollments are completed successfully. + Assists in developing and maintaining an audit plan to ensure internal and external compliance requirements are met regarding relevant government rules and… more
