- NTT DATA North America (Columbus, OH)
- …methodology/ fee schedule **Job Requirements and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... part of an overall sourcing strategy. NTT DATA is seeking to hire a ** Remote Medical Claims Processing Associate** to work for our end client and their team.… more
- Cognizant (Columbus, OH)
- …+ 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:**… more
- IQVIA (Columbus, OH)
- **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
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy ... support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return,… more
- Prime Therapeutics (Columbus, OH)
- …work experience; HS diploma or GED is required + 2 years of work experience in claims processing or project lifecycle, or related roles in the healthcare or ... and drives every decision we make. **Job Posting Title** Claims Analyst - JUDI Ops Support - Remote **Job Description** The Claims Analyst is responsible… more
- Molina Healthcare (Columbus, OH)
- …management or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise,… more
- Molina Healthcare (Dayton, OH)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Cognizant (Columbus, OH)
- ** Healthcare Accounts Receivables - Claims Denials ( remote )** Cognizant is one of the world's leading professional services companies, we help our clients ... related to resolving physician claim denials. + **Accounts Receivables processing ** : getting the payment processed. + **Root Cause...Based on this role's business requirements, this is a remote position open to qualified applicants in the United… more
- Molina Healthcare (OH)
- …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
- Molina Healthcare (OH)
- …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. Analyzes data and dashboard reports to monitor...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more