- Elevance Health (Atlanta, GA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- The Cigna Group (Bloomfield, CT)
- …supports the following reporting tools and fulfillment functions: + Delivers ad hoc medical , pharmacy, clinical, and Cigna program information in the form of reports ... create/execute test cases, and facilitate programs from beginning to end). + Follow processes put into place regarding data governance, including but not limited… more
- Elevance Health (Seattle, WA)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... Systems Administrator to support the Geographic Service Providers (GSP) Brooke Army Medical Center (BAMC) IT Support Services directorate located in San Antonio, TX.… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... Sr. Network Engineer to support the Geographic Service Providers (GSP) Brooke Army Medical Center (BAMC) IT Support Services directorate located in San Antonio, TX.… more
- Penn Medicine (East Petersburg, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... + Maximizes cash collections and resolution of aged accounts through informed, consistent follow up activities. Responsible for the timely billing and follow -up… more
- Covenant Health Inc. (Harriman, TN)
- …Registration Specialist, Admitting & Registration PRN/OCC, Hours and Shifts Vary Roane Medical Center Overview: Proudly serving our community, Roane Medical ... staff to provide you the best possible patient care. From our quality medical , surgical, emergency and critical care services to our diagnostic imaging and… more
- Fairview Health Services (Minneapolis, MN)
- …Fairview offers a generous benefit package including but not limited to medical , dental, vision plans, life insurance , short-term and long-term disability ... + Certifications and experience relative to the role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal. **Benefit Overview**… more
- Dickinson Financial Corporation (Kansas City, MO)
- …timely processing of Automated Clearing House (ACH) exceptions, and Regulation E Claims . Meticulous attention to detail and strong understanding of ACH regulations ... compliance, and client satisfaction. **Responsibilities** + Process and investigate Regulation E claims related to ACH transactions. + Track volume for month end… more
- Fairview Health Services (Shoreview, MN)
- …Fairview offers a generous benefit package including but not limited to medical , dental, vision plans, life insurance , short-term and long-term disability ... opportunities. + Operational Oversight Oversee end-to-end PBM operations including claims adjudication, formulary management, rebate contracting, network development, and… more