- Molina Healthcare (Rochester, NY)
- …of provider-submitted claims issues. This role requires a keen understanding of medical claims processing, strong analytical skills, and the ability to effectively ... accurate assessments. + Meets quality and production goals. + Maintains detailed records of claim reviews and resolutions. + Identifies trends in submitted issues… more
- Elevance Health (Atlanta, GA)
- …Capabilities, and Experiences:** + AI adoption in testing is a plus. + Experience coding with Java, Python, and/or SQL. + Knowledge of the ATLC (Automation Testing ... with Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. + Quality certification such as CMQ, CQA, CQPA, CQT,… more
- CVS Health (Washington, DC)
- …desired objectives. Participates in code reviews and ensures adherence to coding standards, best practices, and quality guidelines. Communicates and coordinates with ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Intermountain Health (Salt Lake City, UT)
- …information, procedures performed, and any adverse reactions. + Follows protocols for medical necessity, coding , charging, consents, QC programs, and reporting ... certification (BLS) for healthcare providers + May be required to complete the Medical Assistant (MA) Competency Checklist and perform the function of an MA in… more
- CVS Health (Hartford, CT)
- …and benefit requirements into test scenarios to validate benefit configuration and benefits coding . + Possess expertise in the HRP platform. + Translate CMS and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- SERV Behavioral Health System (Hamilton, NJ)
- …and electronic health records (EHR) systems. + Strong understanding of medical coding (eg, CPT, ICD-10) and insurance processes. + Excellent organizational ... and time management skills. + Strong communication and customer service skills. + Attention to detail and accuracy in billing and record-keeping. + Ability to work a flexible schedule including occasional evenings and weekends for unusual circumstantial… more
- BlackRock (San Francisco, CA)
- …Strong work ethic with high degree of self-motivation + Data analysis or financial coding skills preferred (Python, R, SQL, etc.) For San Francisco, CA Only the ... regard to race, color, religion, sex (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), sex stereotyping… more
- The Arc of Opportunity (Fitchburg, MA)
- …and iCentrix * Timely and accurate coding for services into electronic medical records system for billing purposes. * Maintain a caseload of participants ... Orientation) $1500 Referral Bonus for Current Staff! $22.56-$25.95 an Hour Comprehensive medical , dental and vision coverage. Paid vacation, holidays and sick time.… more
- CVS Health (Harrisburg, PA)
- …the performance and add efficiencies. **REQUIRED QUALIFICATIONS** + 7+ years of coding experience using Python with expertise in solution and software development. + ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Humana (Corpus Christi, TX)
- …Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state, and payer-specific standards, reducing audit risk and ... (SOC), Recertification, and Discharge documentation for completeness and accuracy, including coding , medication reconciliation, and plan of care alignment. Timely QA… more