- Insight Global (Coleman, FL)
- …representation, program coordination, medical coding or billing, appointment scheduling, medical claims processing , or administrative support within a ... Job Description * Coordinate and schedule off-site medical referrals * Enter referral data into patient...with client contracts and HIPAA * Manage and document medical records for off-site referrals * Facilitate weekly Utilization… more
- SAIC (TX)
- …Gentran mapping tools. + Understanding the financial procurement process. + Knowledge of Medical claims processing . + Provide excellent customer service ... both government and contractor personnel. **Responsibilities:** + Maintain and Support processing of EDI transactions using the Accredited Standards Committee (ASC)… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing /Insurance Referral. Additionally, qualified ... referrals to non-network providers to TRICARE Service Center for medical necessity/appropriateness review. + Routinely monitors referral management voicemail to… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The ... Medical collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to… more
- Trinity Health (Lavonia, GA)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... being friendly, professional and respectful, to guarantee the flow of accurate medical , insurance and demographic information throughout the system. **What you will… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Trinity Health (Farmington Hills, MI)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... call center customer service experience** **Experience working with the Epic medical billing system desirable** Previous service/call center experience with the… more
- Providence (Tukwila, WA)
- …+ 3 years of experience in health care or pharmacy billing, collections or medical claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability insurance, time off benefits (paid… more
- CVS Health (Hartford, CT)
- …enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in ... days per week)** **Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing guidelines....willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus.… more
- MVP Health Care (Rochester, NY)
- …looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical claims and attention to detail this is the opportunity for you. **What's in ... + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills required, Microsoft...responsibilities:** + Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess… more