- Integra Partners (Troy, MI)
- …establish strategies for development Knowledge/Skills/Abilities + 5+ years of experience in medical claims processing , billing, or revenue cycle management. ... Medicare/Medicaid requirements, and regulatory changes affecting CRT reimbursement. + Ensure claims processing adheres to HIPAA regulations and payer-specific… more
- State of Minnesota (St. Paul, MN)
- …plays a critical role in the Paid Leave Division of overseeing the claims processing team, ensuring efficiency, accuracy, and compliance with program ... responsibilities include: + Oversees the quality and timeliness of claims processing . + Assign and monitor staff..., paid leave statutes, healthcare regulations). + Experience supervising claims in insurance , paid leave, and/or healthcare.… more
- TEKsystems (Fairfax, VA)
- … questions. Qualifications Education Level: High School Diploma or GED 3+ years Claims processing billing or medical terminology experience Knowledge Skills ... organizational policies and procedures. ESSENTIAL FUNCTIONS: Examines and resolves non-adjudicated claims to identify key elements of processing requirements… 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 ...Regulatory and Statutory requirements and/or Best Practices in the processing of all claims . **Position Qualifications:** +… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... of the PPGs, capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates. Salary Range Disclaimer:… more
- Cognizant (Hartford, CT)
- …ensuring all mandated government and state regulations are regularly met. 2. Processing claims for multiple plans with automated and manual differences ... **Experience:** Minium of two to three years of Medicaid and or Commerical ** claims payer** processing experience. **Technical Competencies:** 1. Ability to work… more
- UCLA Health (Los Angeles, CA)
- …you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be ... will: + Coordinate and monitor the daily workflow of claims processing . + Distribute unprocessed claims...combination of education and experience. + 6-8 years of medical claims payment experience in an HMO… more
- ICW Group (San Diego, CA)
- …ensuring it aligns with overall business objectives. This includes balancing effective claims processing with risk mitigation. The CCO develops policies, ... of our journey as we strive to transform the insurance carrier space. We're proud to be in business...identify areas for improvement and implement strategies to enhance claims processing efficiency and effectiveness. + Develops… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies...claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to… more
- Select Medical (Camp Hill, PA)
- …School Diploma or Equivalent + One year of experience within a medical billing, medical collecting or claims processing role. + Private and commercial ... may be a phenomenal career for you within Select Medical ! Our dynamic team has the responsibility of resolving...Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are… more