- 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
- Molina Healthcare (AZ)
- …PMO standards, stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare / Claims )** + Deep understanding of claims lifecycle, EDI ... technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people, process,… more
- Dignity Health (Bakersfield, CA)
- …lead role, with strong project team management skills. - Advanced knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices. ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research...**Job Requirements** **Minimum Qualifications:** - Bachelors degree in Business, Healthcare Administration, or a related field or experience in… 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
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims … more
- NTT America, Inc. (Plano, TX)
- …using applicable methodology/ fee schedule Requirements: * 3 year(s) hands-on experience in Healthcare Claims Processing * High school diploma or GED. * ... NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end...be responsible for: * Processing of Professional and institutional claims * Reviewing the policies and benefits * Comply… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Requirements:** + 3 year(s) hands-on experience in ** Healthcare Claims Processing** + **In-depth, hands-on, practiced experience ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Robert Half Finance & Accounting (Winston Salem, NC)
- …North Carolina. This role requires a skilled leader with a strong background in healthcare claims and a commitment to driving performance while maintaining a ... Responsibilities: * Oversee the daily operations of a team handling healthcare claims inquiries and adjudications. * Monitor performance metrics, including KPIs,… more
- Dignity Health (Bakersfield, CA)
- …responsible for the detailed and accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims ... procedures. **Job Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2 years in a senior or… more
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