- VetsEZ (PA)
- …Document Processing (IDP) pipelines to extract and validate data from claims , authorizations, and medical documentation. + Integrate LLMs and intelligent ... care teams, payers, and providers to improve how patients experience care, how claims are processed, and how care coordination is managed across the continuum. By… more
- Ansible Government Solutions (Birmingham, AL)
- Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Remote Medical Support Assistants (MSA) to support the various VAMC facilities ... packages are available for qualified candidates. **This position is remote but living in the Birmingham, AL area is...in the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information,… more
- Molina Healthcare (ID)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- CareFirst (Baltimore, MD)
- …physicians and/or ancillary providers as well as knowledge about contracting and claims processing . + Experience in revenue cycle management and value-based ... measure capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and… more
- Ryder System (Augusta, ME)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- VetsEZ (CA)
- …citizenship required). Preferred Experience: + Prior experience in care coordination, claims processing , or patient engagement systems. + Practical experience ... develop, test, and operationalize AI-driven product ideas-such as automated claims triage, intelligent document processing , and conversational assistants-into… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE At Polaris Pharmacy Services, we're more than a… more
- Martin's Point Health Care (Portland, ME)
- …waste, and abuse investigatory techniques and strategies + Solid understanding of standard claims processing systems, operations, and claims data analysis + ... claim payments. This role focuses on preventing overpayments, identifying incorrect claims , and leading recovery efforts while improving system controls and… more
- The Cigna Group (Tempe, AZ)
- …create patient profiles in system if needed. + Prepare prescriptions for processing , including assessing validity of prescription. + Manually route orders to ... appropriate stage for processing , validation or clarity from Doctors' offices, insurances and/or...+ Accurately enter prescriptions into our system, run test claims , run test claims and support patients… more
- Aveanna Healthcare (Chandler, AZ)
- Billing Specialist ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 209312 Location: Chandler, AZ 85286 Category: Medical Billing/Collections Salary: ... including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. The starting pay for… more