- DXC Technology (Nashville, TN)
- …long-term transformation. Responsible for claims services and adjudication of health and disability insurance claims , ensuring accuracy, compliance, ... and high-quality service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing, learning from experienced… more
- Highmark Health (Topeka, KS)
- …+ Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience ... processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss … more
- WelbeHealth (Los Angeles, CA)
- …of experience processing and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims + Experience working with CMS and ... and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery...ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring… more
- Insight Global (Tempe, AZ)
- … Production Representative is responsible for accurately reviewing, processing, and adjudicating health insurance claims in compliance with company policies, ... claims resolution systems * In-depth knowledge of general Insurance and/or Health Insurance operations processing protocols and payment schemes. *… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
- Highmark Health (Harrisburg, PA)
- …Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Elevance Health (Atlanta, GA)
- …strongly preferred. + Digital literacy strongly preferred. + Health insurance industry experience strongly preferred. + Claims operational experience ... **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This...Illinois; California; Minnesota In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Lake Mary, FL)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...research findings. + Health insurance… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
- BlueCross BlueShield of North Carolina (NC)
- … Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance , Insurance Claim Handling, Insurance ... **Job Description** The Manager, Medicare Claims , oversees end-to-end claims services for...and we're leading the way. We offer more than health insurance our customers can count on.… more
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