- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... a job, you're making a difference in people's lives.** *This is a remote based position* Identifies, reviews, and interprets third party payments, adjustments and… more
- Conduent (ND)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... culture where individuality is noticed and valued every day. ** Remote Call Center Representative** Our call center associates are...accrued after 180 days (about 6 months) of employment. Health benefits medical, dental, and vision are available on… more
- UPMC (Pittsburgh, PA)
- …the participating providers of the UPMC Health Plan. A general understanding of Health care insurance and Medicare managed care is highly preferred for this ... annual Risk Adjustment prospective campaigns. + Collaborates with Network Management, Reimbursement, Claims , and other Health Plan departments as required. +… more
- Mass Markets (TX)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... with generally accepted accounting principles (GAAP) and contribute to the financial health and growth of our organization. To be considered for this role,… more
- Centene Corporation (Sacramento, CA)
- …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
- Providence (Irvine, CA)
- …benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance , disability ... strategic vision for the future? Join Providence St. Joseph Health as our Corporate Counsel and become a key...key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and… more
- The Cigna Group (Bloomfield, CT)
- …or GED required. + 3+ years as a Scrum Master or Team Coach. + Health insurance experience preferred. + Preferred certifications: SSM, CSM, PSM, CSP, PSM II. ... looking for an experienced Scrum Master to join our Claims Systems Operations team. This role is key to...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Motion Recruitment Partners (Irving, TX)
- Senior Database Administrator - Remote Irving, TX **Hybrid** Contract $57.14/hr - $57.14/hr Our client is looking for a Senior Database Administrator on a 11-month ... TX. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that… more
- Mass Markets (CA)
- …you need. + Health Benefits:Full-time employees are eligible for supplemental health coverage through Blue Cross. + Life Insurance :Access life insurance ... POSITION OVERVIEW ENTRY-LEVEL REMOTE CUSTOMER SERVICE REPRESENTATIVE (SASKATCHEWAN) We are looking... options to safeguard your loved ones. + Supplemental Insurance :Accident and critical illness insurance + Career… more
- The Cigna Group (Bloomfield, CT)
- …control studies etc. + Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and enable our provider/clinical ... to business questions/problems **Qualifications** **This position requires healthcare and insurance content knowledge, analytics expertise with a focus on data… more