- Johns Hopkins University (Baltimore, MD)
- …of JHU/ Epic billing applications. + Utilize online resources to facilitate efficient claims processing . + Capable of advanced problem solving in medical ... actual time of service. Requires extensive knowledge of insurance contracts, medical terminology and coding. Assumes administrative tasks, special projects, report… more
- Humana (Santa Fe, NM)
- …CFE, AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing , and investigative process development * Experience in a ... creating/presenting via PPT or other platform o Performing Investigative research and medical record reviews o CPT code experience o Experience with testifying in… more
- Modivcare (Charleston, WV)
- …the provider liquidated damage process, including documentation and resolution of claims related to service disruptions or contract breaches. + Ensures trip ... and denial processes. + Advises management on customer service and exceptions processing . + Oversees inbound and outbound phone activity for quality and operational… more
- AmeriHealth Caritas (Newtown Square, PA)
- …financial reporting and related financial analysis experience. + Basic understanding of Claims Processing / Clinical Coding and business practices. + Basic ... degree required. + 1 to 3 years knowledge of medical billing ICD-10, CPT DRG; claims coding ;Revenue Code Mapping, Data Analysis, Data warehousing, translated… more
- Family of Kidz (Garden City, NY)
- …Time Off (between 25-28 days!) + 12 Holidays including Winter break 12/25-1/1 + Medical , Dental, and Vision Insurance + 401(k) + Flexible Spending and Health Savings ... employees who work 25 or more hours per week ( Medical , Dental, Vision, FSA, and Pet Insurance) + Employee...all child demographic into the system + Assist in processing and scheduling services for EI and CPSE children… more
- Bell (Mound, MN)
- …Office Products * Experience dealing with the public on requests and issues * Experience processing insurance claims would be an asset * Knowledge of medical ... when necessary for various programs including out of province claims * Update the Medigent system daily or as...soon as you join us, you'll be eligible for medical , dental, vision and mental health benefits that you… more
- TEKsystems (Wood Dale, IL)
- …to maintain strong customer relationships and fair and effective resolution of claims and complaints, in alignment with consumer laws. Key Responsibilities: -Deliver ... service across sales, promotions, and installation processes. -Resolve customer claims and complaints fairly and effectively. -Maintain positive customer relations… more
- State of Montana (Helena, MT)
- …parties involved in claims or third parties about cases, retrieving and processing records, and managing information related to HRB claims . * *Written and ... learn more. * Free telehealth and access to free employee medical clinics through our medical plan - clickhereto learn more. * Choice between two retirement… more
- Elevance Health (Dearborn, MI)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Business Consultant is responsible for translating moderately ... savings. + Consults with business partners concerning processes, procedures, contracts, processing rules and other system rules. + Collaborate on automation to… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …management to support technical, ancillary, and clinical support to military medical treatment facilities in the pacific Region. This position will support ... + Develop Tines workflows to automate: + SCAP ingestion + RapidFort event processing + Elastic SIEM alert enrichment + Compliance notifications & ticketing +… more