- Humana (Topeka, KS)
- …us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health … more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health … more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information Technology ... UTMB Health Requisition # 2502417 **Minimum Qualifications:** Bachelor's degree in...+ Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing… more
- Rising Medical Solutions (Milwaukee, WI)
- …With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, ... Experience + 2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related position(s) Skills/Competencies + Knowledge of… more
- MGE Underground, Inc. (Paso Robles, CA)
- …| Performance | Trust | Fun How You Can Make an Impact The Safety, Health & Claims (SH&C) Coordinator is responsible for managing self-insurance and Workers' ... communication with internal teams and external stakeholders regarding safety, health , and claims -related matters. + Track and...skills, and applicable knowledge. Above and Beyond Benefits + Medical , dental, vision, and life insurance. + 401K +… more
- Humana (Sacramento, CA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health … more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... You can do all this and more at UCLA Health . The Claims Quality Auditor will be...medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes… more
- Kemper (Birmingham, AL)
- …contract and in accordance with the damages presented. **Position Responsibilities:** + Medical Claims Handling: Identify involved parties eligible for coverage, ... analyze medical bill, lost wage and other expense ...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- IQVIA (Cleveland, OH)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position,… more