- Integra Partners (Troy, MI)
- The Project Manager - Healthcare Claims Management (Subject Matter Expert) is responsible for leading complex projects and initiatives related to claims ... and operational improvements. This role requires deep subject matter expertise in healthcare claims systems, workflows, and regulatory requirements. The PM will… more
- Cognizant (Pierre, SD)
- …and executing end-to-end test strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member ... About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...GED. + 0-2+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working… more
- TEKsystems (Middleton, WI)
- …of confidentiality and compliance. What You'll Do + Review and adjudicate FSA claims up to $5,000 + Process Benefits Card receipt requests + Accurately enter ... claims into participant accounts + Update participant demographic information...of 9,500 KPH Preferred Qualifications: + Prior experience in claims processing + Familiarity with tax-advantaged benefit plans +… more
- CVS Health (Austin, TX)
- …seeking a candidate to lead Plan and Benefit testing for DDAT-NextGen Claims . This role involves understanding benefit structures and regulatory changes, staying ... current with testing practices and automation, and overseeing multifaceted Medicare workflows. We're looking for someone who has: + Strong analytical skills for designing and implementing test strategies + Experience collaborating with cross-functional teams… more
- Robert Half Accountemps (St. Louis, MO)
- …Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team. Opportunity Overview: We ... are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims… more
- Robert Half Office Team (Roseburg, OR)
- …in Roseburg, Oregon. This Contract-to-permanent position involves analyzing and processing healthcare claims to ensure compliance with organizational policies ... of claims handling. Requirements * 3-5 years of experience in healthcare claims processing or a related field. * Strong knowledge of medical billing codes,… more
- Dignity Health (Bakersfield, CA)
- …within a managed care or healthcare environment. + Strong knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices + ... **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the...as SQL, SAS + Previous experience working directly with healthcare providers or within a provider network setting +… more
- Cognizant (Des Moines, IA)
- …+ Minimum one (1) year QA Experience + Minimum of two (2) year Healthcare claims processing experience + Good Spoken & Written English Good Communication ... established claims adjudication team. We are seeking highly motivated healthcare professionals with auditing experience in professional claims adjudication… more
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