- Kerry (Chicago, IL)
- …+ Proven track record in navigating global nutrition regulations and substantiating health & wellness claims . + Demonstrated ability to integrate sustainability ... + Monitor, interpret, and translate emerging global nutrition policies, regulations, and health trends into actionable insights for Kerry and its customers. +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …a health plan or healthcare setting. (Required) + Previous payer or health plan experience. (Required) + Claims processing systems and product configuration ... the two aspects of the business together to inform configuration that supports accurate claims processing. Act as a key resource and contact for clinical coding, the… more
- Lyric (Newtown Square, PA)
- …+ 1+ years of combined experience in healthcare, such as prior work in health insurance, claims processing or adjudication, or fraud, waste and abuse detection ... medical insurance claim overpayments through recovery (40%) + Review claims for missing or incomplete information, calculate payment, or...payments as a Payment Integrity Vendor or within a Health Plan's Payment Integrity team. + 1+ years of… more
- Commonwealth Care Alliance (Boston, MA)
- …platforms, provider portals, or data visualization tools. + Working knowledge of health plan claims and payment policies, including provider reimbursement ... The program manager is responsible for managing and implementing key population health and network quality initiatives to achieve high performance on CCA's… more
- Lyric (Newtown Square, PA)
- …+ 8+ years relevant experience, with at least 3 years of experience in a health insurance payer or automated claims editing solution, as a payment, reimbursement ... guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to assist in… more
- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, tracking, ... and analyzing employee injury claims . This position will ensure timely reporting, investigation, and...comprehensive benefits package that includes: + Medical Insurance and Health Savings Account with company contribution + Dental, Vision,… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...than your paycheck. It's the combination of competitive pay, health benefits and other benefits Morley provides - your… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Required: Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening ... skills Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Preferred Qualifications: Bachelor's Degree… more
- Xcel Energy (Denver, CO)
- …to conduct professional investigations regarding public property and bodily injury claims where Company personnel and/or assets may be involved. They develop ... preferred. - Minimum of 1-3 years combined gas/electric utility and/or claims -related work experience or equivalent required. - Working knowledge of applicable… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Experience Knowledge of medical terminology, ICD-10 Codes, CPT Codes, HCPC Codes, health plan benefits, or claims required Computer skills required, specifically ... provider offices), answering the phone (including all calls regarding authorization processing, claims related phone calls, and any other calls received via the call… more
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