- Datavant (Augusta, ME)
- …+ Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the… more
- Actalent (Atlanta, GA)
- Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification and medical necessity reviews for designated referrals ... case managers, SNF/Rehab care coordinators, members, providers, Customer Service, Claims , Contracts and Benefits - Appeals, and Risk Management. Essential… more
- Conduent (Helena, MT)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... Medicaid Member Support Call Center CSR This is a remote position - must be able to work MST...learn Medicaid member support and the medical eligibility and claims process! **Summary:** + Using a computerized system, responds… more
- The Hartford (ID)
- …execute the investigation, valuation, disposition and settlement of large Commercial property claims in a manner consistent with corporate claim settlement ... value or 3+ years experience as a full file Claim Adjuster managing moderately severe commercial property claims... and be able to appropriately interpret and apply insurance coverage, with some personal lines claims … more
- Marshfield Clinic (Marshfield, WI)
- …customer service skills. **Preferred/Optional:** One year experience in a Health Maintenance Organization (HMO) or insurance industry. ... missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist ( Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** 40… more
- Cedars-Sinai (Torrance, CA)
- …+ High school diploma or GED required. College level courses in finance, business or health insurance preferred. + A minimum of 5 years revenue cycle experience ... innovation. **Why Cedars-Sinai?** Beyond extraordinary benefits, paid time off, competitive salaries and health and dental insurance , we take pride in hiring the… more
- Molina Healthcare (Albany, NY)
- …portals to validate state, vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + ... Facilitates administrative support, data entry, and accurate maintenance of other insurance records. **Job Duties** + Provides telephone, administrative and data… more
- The Cigna Group (Bloomfield, CT)
- …experience required + 3+ years of experience in finance, business analysis or health care/managed care + Strong organizational skills and attention to detail + ... Understanding of managed care business processes, data, systems, and claim payments + Proficient in Microsoft Office Suite (Microsoft...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Bluestone Physician Services (Stillwater, MN)
- …troubleshoot all known claim denials and rejections, follow up with insurance providers regarding unpaid and rejected claims ; resolve issues and re-submit ... with experience. Responsibilities : + Review and resolve all claims errors before claim is submitted for...and understand the English language Bluestone Benefits : + Health Insurance + Dental Insurance … more
- CareFirst (Baltimore, MD)
- …Diploma or GED. **Experience:** 1 year customer service experience in health insurance field. **Preferred Qualifications:** + Healthcare industry experience. ... Coordinate with internal departments to address operational issues such as claims , eligibility and benefits questions, systems issues, and benefit administration… more