Hmo Claim Manager Jobs (NOW HIRING)

Required Qualifications * 3 years' experience in the HMO industry to include claims, customer ... Daily Operations Manage the daily operations of the claims department maintaining claim turnaround ...

Managed Medi-Cal * Commercial PPO and HMO plans * IPA Medical Groups * Workers' Compensation ... Investigate claim denials to determine root causes. * Prepare first-level, second-level, and ...

Required Qualifications * 3 years' experience in the HMO industry to include claims, customer ... Daily Operations Manage the daily operations of the claims department maintaining claim turnaround ...

Required Qualifications * 3 years' experience in the HMO industry to include claims, customer ... Daily Operations Manage the daily operations of the claims department maintaining claim turnaround ...

... management. Drive initiatives focused on improving clean claim rates, reducing denials, and ... Strong understanding of Medicare, commercial insurance, HMO, and PPO billing regulations.

Able to obtain preauthorization from HMO and commercial insurance. Verify patients Medicare and ... Check claim statuses and verify payments for visits in online portals * Compare billed visits with ...

Able to obtain preauthorization from HMO and commercial insurance. Verify patients Medicare and ... Check claim statuses and verify payments for visits in online portals * Compare billed visits with ...

Able to obtain preauthorization from HMO and commercial insurance. Verify patients Medicare and ... Check claim statuses and verify payments for visits in online portals * Compare billed visits with ...

... Cal, Managed Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...

Utilizes available system resources to resolve claim issues when appropriate reports any billing ... Managed Care/HMO contract billing experience required. * 3-5 years prior experience in Billing of ...

... Cal, Managed Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...

... Cal, Managed Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...

Develop strategies to reduce loss costs and ensure efficient claim processing * Drive Performance ... Choice of Blue Cross Blue Shield PPO, HMO, or HSA plans, Dental and vision coverage, Access to ...

Develop strategies to reduce loss costs and ensure efficient claim processing * Drive Performance ... Choice of Blue Cross Blue Shield PPO, HMO, or HSA plans, Dental and vision coverage, Access to ...

... Cal, Managed Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...

We are a solo ophthalmology practice seeking a front-office manager. This is an excellent ... claim submission, use of electronic medical software -Experience in HMO authorization, all ...

We are a solo ophthalmology practice seeking a front-office manager. This is an excellent ... claim submission, use of electronic medical software -Experience in HMO authorization, all ...

Monitor and resolve claim production red edit reports daily, to clear edit, coordinate with health ... Ability to manage multiple tasks/projects simultaneously and adapt to frequent priority changes

Enter claim remarks of all recovery attempts and activities. * Communicates with providers ... Knowledge in the contracted managed care plan terms and rates for multiple lines of business.

Monitor and resolve claim production red edit reports daily, to clear edit, coordinate with health ... Ability to manage multiple tasks/projects simultaneously and adapt to frequent priority changes