Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability · * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability · * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
Augustine, FL Must be able to start soon Must be a practicing physician, FL licensed and board certified Client has upgraded their benefits package They are a large multi-specialty staff model HMO ...
Augustine, FL Must be able to start soon Must be a practicing physician, FL licensed and board certified Client has upgraded their benefits package They are a large multi-specialty staff model HMO ...
Augustine, FL Must be able to start soon Must be a practicing physician, FL licensed and board certified Client has upgraded their benefits package They are a large multi-specialty staff model HMO ...
Augustine, FL Must be able to start soon Must be a practicing physician, FL licensed and board certified Client has upgraded their benefits package They are a large multi-specialty staff model HMO ...
Augustine, FL Must be able to start soon Must be a practicing physician, FL licensed and board certified Client has upgraded their benefits package They are a large multi-specialty staff model HMO ...
Augustine, FL Must be able to start soon Must be a practicing physician, FL licensed and board certified Client has upgraded their benefits package They are a large multi-specialty staff model HMO ...
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Kaiser HMO * PERS Gold PPO (County sponsored plan) * PERS Platinum PPO * PORAC (Available to PORAC members only) Flexible Spending Accounts The County offers employees the option to contribute to a ...
Kaiser HMO * PERS Gold PPO (County sponsored plan) * PERS Platinum PPO * PORAC (Available to PORAC members only) Flexible Spending Accounts The County offers employees the option to contribute to a ...
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$19.80 - $31.25/hr
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
HMO information
What are the typical responsibilities of an HMO medical officer on a daily basis?
As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.
What is an HMO?
An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.
What are the key skills and qualifications needed to thrive in the HMO position, and why are they important?
To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.
More about HMO jobs
What are the most commonly searched types of Hmo jobs? The most popular types of Hmo jobs are:
What states have the most Hmo jobs? States with the most job openings for Hmo jobs include:
What job categories do people searching Hmo jobs look for? The top searched job categories for Hmo jobs are:
- Medical Billing Specialist Temporary To Permanent
- Billing Reconciliation Specialist
- Remote Medical Billing Clearinghouse
- Cbcs Insurance
- Managed Care Billing Specialist
- Evening Aia Billing Specialist
- Billing Claims Specialist
- Accounts Receivable Medical Billing Specialist
- Patient Collection Specialist
- Data Entry Medical Billing
$19.80 - $31.25/hr
Full-time
This job post has expired today. Applications are no longer accepted.
University Of Nevada (Reno) rating
8.5
Based on 18 frontline employees who took The Breakroom Quiz
80th of 617 rated colleges and universities
Job description
POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
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