- Snapsheet (Chicago, IL)
- Job Title: Engineering Manager - Claims Management Company: Snapsheet Job Location: USA, Remote Job Type: Full-time, direct hire Job Department: Technology About ... Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and...wherever life takes you. + Choose from 3 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- CDPHP (Latham, NY)
- …The Document Service Representative will work closely with Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve claims ... in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to… more
- LA Care Health Plan (Los Angeles, CA)
- …California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National ... $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California… more
- CVS Health (Phoenix, AZ)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access,… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- Summary The incumbent independently manages the Medical Center's Beneficiary Travel Program and Veteran Personal Finance System and serves as the office's Fund ... and track payment to check date. Receives beneficiary travel claims , identifies type of travel benefit claimed, checks for...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Qualifications To qualify for this… more
- Community Health Systems (Naples, FL)
- …system performance. **What We Offer** + Competitive Compensation + Comprehensive Benefits: Medical , Dental, Vision, Life Insurance + Generous PTO & Extended Illness ... Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including… more
- Humana (Springfield, IL)
- …and quality related topics. + Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record ... care or managed care experience working with providers (eg, provider relations, claims education). + Experience working with physical health providers,… more
- Insight Global (Carlsbad, CA)
- …confidence. In your day-to-day role, you prepare and review DMEPOS (Durable Medical Equipment, Prosthetics/Orthotics & Supplies) claims to ensure they're ... Description A client of Insight Global is seeking a Medical Billing Specialist to join our team in Carlsbad,...and pre-authorizations as needed, and work closely with the Health Information Management (HIM) department to ensure clean claim… more
- Johns Hopkins University (Middle River, MD)
- …Communicates with payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy denials ... III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications and… more