- Humana (Columbus, OH)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health … more
- Humana (Annapolis, MD)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health … more
- Humana (Salem, OR)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health … more
- Humana (Dover, DE)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... focus on collaborative business relationships, value based care, population health , or disease or care management. Medical ...population health , or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal… more
- Independent Health (Buffalo, NY)
- …assistant certificate and/or college degree preferred. + Six (6) months of medical claims processing/ medical billing experience, customer service experience ... The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental claims against established criteria, and in accordance… more
- Sedgwick (Hartford, CT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Medical Malpractice (Professional Liability) **ESSENTIAL FUNCTIONS and ... (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care...+ Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and… more
- Guidehouse (El Segundo, CA)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of initial billing, secondary ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...any and all related job duties as assigned. **_The medical biller will be working a Hybrid schedule based… more
- Central Maine Medical Center (Lewiston, ME)
- …our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is a full time 40-hour, benefits ... eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to process claims in the most efficient… more
- UCLA Health (Los Angeles, CA)
- …Arts Degree or equivalent combination of education and experience. + 6-8 years of medical claims payment experience in an HMO environment (ie, MSO, IPA, or ... in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will...Remittance Advice Remark Codes (RARCs). + Strong command of medical terminology. + Ability to key 6,000-8,000 keystrokes or… more
- CommonSpirit Health (Erlanger, KY)
- …organization. + Manage the overall caseload of STD, Statutory Disability and/or Family & Medical Leave Act (FMLA) claims while remaining in full compliance with ... is to manage and monitor the Short Term Disability and/or Statutory Disability claims processes to ensure timely and accurate claim decisions are made and… more