- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- AssistRx (Orlando, FL)
- …internal program team members. + Subject Matter Expert on reviewing and processing of medical claims submitted for copay programs where the therapy is primarily ... The Copay Support/ Claims Processing Specialist is a critical...Required engagement is with pharmacy claim adjudicators, third party medical claim administrators, merchant vendors, finance for manual claim… more
- BJs Wholesale Club (Marlborough, MA)
- …processes claim billing and funding requests. + Partners with TPA to steer claims towards resolution , provides insight to defense counsel and ensures there ... Leave, Jury Duty * Benefit plans for your changing needs* o Three medical plans**, Health Savings Account (HSA), two dental plans, vision plan, flexible spending… more
- TEKsystems (Honolulu, HI)
- …healthcare insurance, provider support Top Skills Details medical insurance, medical systems,Project management,excel,workflow management,billing systems, ... the provider onboarding process, provider education, provider outreach and issue resolution . Communicates with external and internal customers and manages work… more
- Ascension Health (Austin, TX)
- …and resolving health-care claim payment appeals and communicating resolution /determination in accordance with the standards and requirements established ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Adecco US, Inc. (Hebron, KY)
- …of free upskilling courses **Responsibilities:** + Analyze and process complex medical malpractice and liability claims . + Prepare disclaimers, reservation ... Adecco is currently assisting a local Customer in their search for **Complex Claims Attorney/Examiner** positions in **Remote (US based)** . This is a great… more
- Aston Carter (Seattle, WA)
- …service skills with demonstrated composure and professionalism Skills Claim, Claims processing, Data entry, human resource administration, Financial relief, Rehire ... service, case management, human resources administrative Top Skills Details Claim, Claims processing,Data entry,human resource administration,Financial relief,Rehire Eligibility,hr administration,insurance,hr support… more
- HCA Healthcare (Caldwell, ID)
- …integrity. We care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon. **Benefits** Parallon, offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...location._** Come join our team as an Inpatient Coding Resolution Specialist . We care for our community!… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Dispute Resolution Specialist I is responsible for processing electronic funds transfer (EFT) investigation claims in a fast-paced work ... for both internal and external clients. A successful Dispute Resolution Specialist I must be capable of...researching disputes and ensuring accurate information, evaluating activity and claims , as well as performing resolution actions… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Ophth Clinical Support Location: Penn Presbyterian ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...39th Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor… more