- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... members through our high-quality health , life, disability, dental, vision and indemnity plans. We...and runs queries to generate monthly reports for premium, claims and enrollment to be used by several operating… more
- JPMorgan Chase (New York, NY)
- …strong emphasis on health care data + Subject matter expertise in medical and pharmaceutical claims data, including familiarity with common coding standards ... Health , you will utilize your deep experience with health care claims warehouses, data transformations, and...In this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data,… more
- Huron Consulting Group (Van Buren, AR)
- …codes, managing denials, and working collaboratively with payers to expedite claims resolution and maximize reimbursement efficiency **Oracle Health Charge ... future. Join Huron and shape the future of consulting! As the Oracle Health Solution Consultant, you will: *Partner with healthcare clients and other stakeholders to… more
- Beth Israel Lahey Health (Boston, MA)
- …responsibilities for faxing, filing, mailing, and documenting status in medical record of non-electronically routable prescriptions. 2. Responds efficiently to ... Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. 5. Ability to… more
- AdventHealth (Maitland, FL)
- … analytics Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- MVP Health Care (Rochester, NY)
- At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, ... well-being + An opportunity to shape the future of health care by joining a team recognized as a...highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA… more
- Eastern Connecticut Health Network (Manchester, CT)
- …year! + Sick Time on an accrual basis + 401(k)/ Medical /Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit Options + Tuition Reimbursement- ... via career ladders, committee involvement, and more. POSITION SUMMARY: The Population Health Nurse is responsible for the review and implementation of clinical… more
- Elevance Health (Hanover, MD)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more
- Sharp HealthCare (San Diego, CA)
- …improve quality, and reduce costs. + Internal and External Customer ServiceInterface with Health Plans, Providers, Members, Medical Groups and Internal Sharp ... and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit… more
- Lincoln County (Newport, OR)
- …with a strong attention to detail. The person in this role will review medical claims , prior and subsequent to billing, to ensure accuracy and facilitate ... Billing and Coding: + Review charges prior to initial claims submission to ensure accuracy. Make corrections as needed,...as needed, whether minor or major. + Review outpatient medical and mental health claim denials and… more