- Huron Consulting Group (Chicago, IL)
- …an internal expert on Facets benefit logic, pricing impacts, and downstream claims processing implications. + Develop documentation, job aids, and configuration ... plan. + Strong understanding of Medicare Advantage, benefit administration, and claims processing . + Experience collaborating across cross-functional teams,… more
- LA Care Health Plan (Los Angeles, CA)
- …Advanced understanding of managed care operations (including but not limited to, claims processing ; provider contracting, network and data management; complex ... of the application of the Division of Financial Responsibility (DoFR) to claims processing . Strong communication, analytical, organizational, and time management… more
- Molina Healthcare (Atlanta, GA)
- …health care operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) * Advanced understanding on health care ... executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- Robert Half Office Team (Indianapolis, IN)
- Description We are seeking a Medical Charge Entry Specialist in the Indianapolis, IN to help ensure the smooth and accurate processing of healthcare revenue. As ... member of the administrative team, you will be responsible for entering medical charges, verifying patient information, and supporting the financial operations of… more
- Cardinal Health (La Vergne, TN)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely and accurate processing of ATSP ... for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies. + **Documentation:**… more
- TEKsystems (Woods Cross, UT)
- …improvements to maximize efficiency and accuracy. Key Responsibilities + Submit approved claims for processing and ensure proper acceptance through billing and ... EMR systems. + Research, resolve, and resubmit denied claims ; interpret explanations of benefits (EOBs) from insurance carriers. + Take timely and routine action to… more
- Henry Ford Health System (Detroit, MI)
- …patients' medication access by managing infusion and injection benefit claims , ensuring financial viability, and addressing affordability concerns throughout the ... care journey. * Claims Authorization Support: Efficiently validate insurance coverage and determine when medication prior authorization is required, ensuring… more
- Rush University Medical Center (Chicago, IL)
- …Experience working in a Teaching Hospital setting. * Prior experience with billing and claims processing . * Prior experience working in a hospital or clinical ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity… more
- Cardinal Health (Denver, CO)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more
- Uniland Development Company (Amherst, NY)
- …associates maintain a healthy, well-balanced lifestyle. Our associates enjoy: + Multiple medical plan options including a high deductible, low-cost HSA health plan ... responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation… more