- NTT DATA North America (Orlando, FL)
- NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. **In this Role the candidate will be ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+...be able to work 7am - 4 pm CST online/ remote (training is required on-camera). **Preferred Skills & Experiences:**… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- Cognizant (Tallahassee, FL)
- …35 WPM + 10-key + Proficient in Microsoft Office - Excel, Word, and Outlook + Healthcare claims payer processing experience (required) + Ability to work at a ... ** Claims Process Executive ( remote )** **JOB PURPOSE**...mandated government and state regulations are consistently met + Processing claims for multiple plans with automated… more
- Molina Healthcare (FL)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including UM and CM ... on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM...data, claims , enrollment, ect. + Knowledge of healthcare financial terms (eg, PMPM, revenue) and different standard… more
- Molina Healthcare (St. Petersburg, FL)
- …operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Cognizant (Tallahassee, FL)
- …to understand and use Optum PPS configuration. + Demonstrate strong understanding of healthcare claims processing , provider contracts, fee schedules, and ... Healthcare Product Consulting - NetworX Consultant ( Remote ) Job Summary: The NetworX Product Consultant is responsible for providing customers with application… more
- Molina Healthcare (Orlando, FL)
- …applicants. + Completes data corrections in the credentialing database necessary for processing of recredentialing applications. + Reviews claims payment systems ... **Molina Healthcare ** is hiring for a **Corporate Credentialing Associate Specialist** . This role is remote and can be worked from a variety of locations within… more
- Molina Healthcare (Tampa, FL)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and… more
- Molina Healthcare (St. Petersburg, FL)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and… more
- Molina Healthcare (Jacksonville, FL)
- …management or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more