- MyFlorida (Fort Lauderdale, FL)
- …determining managed care compliance with the SMMC contract as it relates to claims processing. Examples of work include: Analyzes programmatic reports of claims ... identified in the managed care plan provider reimbursement and claims processes. Conducts program training to Medicaid managed care...position may require travel. This position is not a remote or teleworking position. Benefits of Working for the… more
- USAA (Las Vegas, NV)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... and regulations and policies and procedures. **This role is remote eligible. However, you must currently live in the...on any questionable or suspect first or third part claims . + Participates in the development of fraud prevention… more
- The Hartford (Hartford, CT)
- Consultant Claims - CH08CE We're determined to make a...INFORMATION : This role can have a Hybrid or Remote work arrangement. Candidates who live near one of ... Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a highly specialized...do not live near an office will have a remote work arrangement, with the expectation of coming into… more
- The Hartford (Hartford, CT)
- Team Leader Claims - CH08AE We're determined to make a...action planning This role can have a Hybrid or Remote work arrangement. Candidates who live near one of ... our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation,...do not live near an office will have a remote work arrangement, with the expectation of coming into… 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 ... at all times. **Location** + Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. + Occasional onsite meetings / work at… more
- Adecco US, Inc. (Mesa, AZ)
- …of CPT, HCPCS and Modifier experience required. * Experience with behavioral health claims preferred. * Experience working in a remote environment preferred. ... Health facility** in AZ. This position will be **fully remote ** and will be responsible for resolving denials on...be responsible for resolving denials on medical or behavioral claims . The Medical Collector will also follow up on… more
- PPL Corporation (Louisville, KY)
- …locations cannot be considered as this position does not support a fully remote /work from home schedule.** \#LI-HY #INDPPL The Insurance Analyst or Senior Insurance ... renewals for property and casualty lines, captive insurance management, claims , contract reviews for a wide variety of risks,...in data and risk analysis for projects as needed. Remote Work The company reserves the right to determine… more
- Snapsheet (Chicago, IL)
- Job Title: Lead Software Engineer Company: Snapsheet Job Location: USA, Remote Job Type: Full-time, direct hire Job Department: Technology About Snapsheet: Snapsheet ... is claims technology the way it should be: purposeful, precise,...while continuously improving our platform. What you'll get: + Remote working environment - your new commute is however… more
- USAA (Phoenix, AZ)
- …fraud or an intentional act. You will also investigate unusual, questionable, or suspicious claims or underwriting activity. This role is remote eligible in the ... As a dedicated SIU case manager, within defined guidelines and framework you will evaluate and conclude claims identified by SIU Investigators as having elements of… more
- Zelis (St. Petersburg, FL)
- …Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding ... billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production...FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more