- USAA (Tampa, FL)
- …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement ... + Interprets relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. +...advanced medical expertise by serving as primary resource for Health Claims for the approach to medical… more
- Highmark Health (Frankfort, KY)
- …+ 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
- UCLA Health (Los Angeles, CA)
- …play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be responsible for ... monitoring claims workflows, coordinating with internal departments, and maintaining compliance...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- CVS Health (Franklin, TN)
- …or staffing shortages. **Required Qualifications** * 3+ years of experience in health insurance claims processing, preferably with Medicare Supplement ... At CVS Health , we're building a world of health...**Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… more
- University of Utah Health (Salt Lake City, UT)
- …**Qualifications** **Required** + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims . + ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health ...if adjustment is necessary. + Adjusts and documents medical claims or electronic records. + Researches and verifies appropriate… 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
- Elevance Health (Houston, TX)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- Intermountain Health (West Valley City, UT)
- …Intermountain Healthcare. + Understands ERISA, self-funded and federal and state laws around health insurance claims . + Develops and maintains collaborative ... + Computer Literacy + Medical terminology + Problem Solving + Health Insurance + Collaboration + Detail-oriented **Physical Requirements:** **Qualifications**… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided at all clinics. ... codes + Enter the correct codes into patients- electronic health records + Review claims to make...with other staff members to ensure accuracy + Enter insurance claims into specialized billing programs +… more
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