- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
- NTT DATA North America (Chicago, IL)
- …steps that can inform automation strategies **Required Skills/Experience** + 5+ years of health insurance claims processing including experience working with ... in **Chicago, IL** **Role Responsibilities** + Process and adjudicate health , dental, and vision insurance claims with...to identify patterns and opportunities for automation + Share claims processing expertise with team members and… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty ... claims , submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities...Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Insight Global (Woonsocket, RI)
- …Business Leadership * Healthcare or Health Insurance background required * Claims processing background * Experience with project / program management ... seeking a Senior Project Manager to support a large health insurance client of ours. This resource will be...process improvements along with technical implementations, mainly relating to claims processing . We are a company committed… more
- Molina Healthcare (Phoenix, AZ)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits ... concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems… more
- Molina Healthcare (Louisville, KY)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits ... concisely and accurately in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems… more
- Molina Healthcare (Fort Worth, TX)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- AdventHealth (Maitland, FL)
- … claims for all provider types Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Hackensack Meridian Health (Edison, NJ)
- …Finance. + Minimum of 5 years of management work experience in healthcare receivables, health insurance claims processing , or healthcare customer service. + ... functions impacting patient financial responsibility across the Hackensack Meridian Health (HMH) network. Provides leadership to customer service functions, ensuring… more
- AdventHealth (Maitland, FL)
- …measurement, and claims analytics Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
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