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Full-Time
Audit health, dental and vision claims * Prepare on-going reports of findings which includes recommendations to management to improve process and overall results * Develop process that will ensure ...
Audit health, dental and vision claims * Prepare on-going reports of findings which includes recommendations to management to improve process and overall results * Develop process that will ensure ...
The Senior Claims Examiner will adjudicate all aspects of Travel/Accident and Health claims within stated authority. Interface with assistance provider. Handle subrogation and coordination of ...
Description Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Primary duties may include, but are not limited to: * Participate in ...
As a Health Claims Adjuster, you will support our customers by processing health claims with adherence to company policies and contract provisions, in full accordance with the law. This position will ...
Experience in claims processing, medical billing, insurance, or health services preferred. Familiarity with group health benefits preferred. Other Qualifications: Excellent oral and written ...
SoluStaff is actively recruiting for an Epic Certified Home Health Billing Claims Analyst for our Healthcare client in Manhattan. This position requires a seasoned Epic home health billing analysts ...
... claims issues. Prepare "timeline" appeals and /or provider dispute forms, including requesting medical records. Maintain the privacy of patients and their protected health information (PHI ...
To protect the health and well-being of our members, employees and community, CareOregon requires ... Claims Examiner III Department: Claims and Member Services Title of Manager: Claims Supervisor ...
Provides direction to the Claims Unit team while monitoring daily workflows, examiner assignments and production, and ensuring compliance with health plan and regulatory requirements. Degree of ...
Coding, inputting, and processing of health claims. * Answer any form of incoming calls, e-mails and faxes from policyholders, providers, and agents with accurate information in respect to in-process ...
Will ensure that all Indian Health Contract Health Service requirements are met for all eligible ... Is responsible for assuming dual responsibility for processing routine and complex health claims as ...
You can do all this and more at UCLA Health. In this key position, you will be responsible for the initial data entry of received paper claims into our claims processing system. This will involve ...
Bachelor's degree or 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations. * 2 years of claims/ appeals ...
Processes claim payments and overpayment adjustments in the claims processing system to correct ... As an organization, we are committed to improving the health of our communities. From hosting ...
Claims Processing Assistant Working Title: Claims Processing Assistant Cost Center: 43/Claims ... Make an Impact Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina ...
About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization ... The Claims Administration Manager will be responsible for the overall operational leadership of the ...
Process health claims to completion in both paper and electronic form. * Respond to telephone inquiries from participants and providers. * Resolve the call to completion, including investigation and ...
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a ... The Senior Claims Analyst is responsible for the accurate review, input and adjudication of ...
Overview Dignity Health Medical Foundation established in 1993 is a California nonprofit public ... Claims are received by paper and electronically via a clearinghouse. The supervisor oversees the ...
The Claims Coordinator I is the subject matter expert supporting all Coordination of Benefits ... As the SME, ensures that health plan payer hierarchy is maintained for HMA and RGA plans by ...