- CareFirst (Baltimore, MD)
- …ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience. **Preferred ... use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy,...to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated… more
- Centene Corporation (Phoenix, AZ)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving...practices medicine. + Course work in the areas of Health Administration, Health Financing, Insurance ,… more
- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with… more
- University of Miami (Medley, FL)
- …Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are ... of service + Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services + Add and/or edit… more
- Fairview Health Services (Minneapolis, MN)
- …by translating the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after hours and weekends ... role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal....but not limited to medical, dental, vision plans, life insurance , short-term and long-term disability insurance , PTO… more
- Sedgwick (Roseville, CA)
- …or health savings account, and other additional voluntary benefits._ \# Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI- Remote #LI-AM1 Qualified applicants with ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant - Workers Compensation | CA Jurisdictional Knowledge Required… more
- Subaru of America (Camden, NJ)
- …workers' compensation (WC), general liability (GL), and auto physical damage and liability (auto) claims . + Reviews insurance claim files to ensure that ... safe and protected by supporting our insurance , claims , and safety programs. You'll manage claim ...drills, and compliance with SOA and Occupational Safety and Health Administration (OSHA) safety standards. Assists with scheduling training… more
- UNUM (Olympia, WA)
- …and rewards that are competitive and comprehensive including healthcare benefits ( health , vision, dental), insurance benefits (short & long-term disability), ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more
- Mount Sinai Health System (New York, NY)
- … Insurance : Understanding of benefits verification, coverage determination, or claims workflows + Fintech/IT: EPIC **Describe Work Environment** Office-based May ... **Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director, Pre Appeals Management is a strategic… more
- Stanford Health Care (Palo Alto, CA)
- …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist ... timely and accurate resolution of appeals, ultimately contributing to the financial health of the organization. There are three (3) career banded levels within… more