- CareFirst (Fairfax, VA)
- …leadership. **Knowledge, Skills and Abilities (KSAs)** + Knowledge of call center operations claims and/or enrollment and billing and workflows. + Strong ... support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations . Investigates and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …(Palmetto GBA) and CMS web sites + Understanding of the CMS Publication: 100-4 ( Medicare Claims Processing Manual) + Ensures claim information is complete and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both...deemed necessary by management , to ensure efficient department operations + Report potential or identified problems with systems… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Provider Groups (PPG), Specialty Health Plans (SHP) and Pharmacy Benefit Manager (PBM) including LA Care's Claims Department. This requires interaction ... Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial...of LA Care deficient delegates. Participates in Centers for Medicare and Medicaid Services (CMS) claim audit section of… more
- Waystar (Lehi, UT)
- …closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in sales, marketing, design, development, and ... operations . This role will be charged with leading game...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Guidehouse (San Marcos, CA)
- …billing systems and billing processes. The Billing Supervisor reports directly to an Operations Manager or Director level position and may perform any and ... You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations ...CPT, HCPCS and Revenue Codes. + Provide departments with Medicare and other payer updates, notices and coverage changes… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES ... programs. Essential Job Functions Plans, assigns, coordinates, and manages, through subordinate Manager , Facilities Operations and Crafts staff, a variety of… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL...quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. Assisting in the management… more
- Caris Life Sciences (Irving, TX)
- **Position Summary** Caris is seeking a full time Manager for our Billing Operations to oversee the day-to-day operations for a defined payor group. This ... receivable management by monitoring and following up on unpaid claims , denied claims , and billing discrepancies. +...of privacy of patient data. + Experience working with Medicare Advantage plans is a plus + Experience with… more
- Caris Life Sciences (Irving, TX)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Manager of Billing Operations Accounts Receivable is responsible for providing ... + Expert in Business-to-Business (B2B) communications. + Advance knowledge of Medicare , Medicaid and commercial insurance guidelines, and medical billing processes +… more
- Amazon (New York, NY)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will responsible primarily ... for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound… more
Recent Jobs
-
Automotive Detailer - Car Washer - Bowling Green - Full Time
- Enterprise Mobility (Bowling Green, KY)