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.
Medical Biller
Anaheim, CA · On-site
$19 - $24.50/hr
Responsibilities Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve ...
Medical Biller
Anaheim, CA · On-site
$19 - $24.50/hr
Responsibilities Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve ...
Medical Biller
$18 - $23/hr
Experience with HMO, PPO, and state payors. * Experience with claim appeals and aging accounts.
Quick apply
Medical Biller
$18 - $23/hr
Experience with HMO, PPO, and state payors. * Experience with claim appeals and aging accounts.
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.
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 ...
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 ...
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.
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
$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.
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.
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Quick apply
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
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 ...
Primary Care Physician
Daytona Beach, FL · On-site
One of our long standing partners, a large multi-specialty staff model HMO is seeking a BC/BE , Primary Care Physician to join one of their Daytona Beach facilities located in Volusia County. Office ...
Quick apply
Primary Care Physician
Daytona Beach, FL · On-site
One of our long standing partners, a large multi-specialty staff model HMO is seeking a BC/BE , Primary Care Physician to join one of their Daytona Beach facilities located in Volusia County. Office ...
One of our long standing partners, a large multi-specialty staff model HMO is seeking a BC/BE , Primary Care Physician to join one of their Daytona Beach facilities located in Volusia County. Office ...
One of our long standing partners, a large multi-specialty staff model HMO is seeking a BC/BE , Primary Care Physician to join one of their Daytona Beach facilities located in Volusia County. Office ...
Heavy Machine Operator (C)
Ottawa, KS · On-site
$15 - $17.75/hr
The HMO-C utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC equipment and machines To perform this job successfully, an ...
Heavy Machine Operator (C)
Ottawa, KS · On-site
$15 - $17.75/hr
The HMO-C utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC equipment and machines To perform this job successfully, an ...
JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to ...
JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to ...
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 the highest paid job in health care?
In healthcare, anesthesiologists are among the highest-paid professionals, often earning over $300,000 annually due to their specialized skills and extensive training. Other high-paying roles include surgeons and certain medical specialists, which require advanced degrees, certifications, and years of experience.
What is an HMO job?
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 jobs pay 4000 a week without a degree?
Jobs related to healthcare management, such as HMO coordinators or administrators, can sometimes pay around $4,000 weekly, especially with experience and certifications. Other high-paying roles without a degree include sales managers, real estate brokers, or skilled trades like electricians and plumbers, which often require specialized training or licensing but not a college degree.
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.
What's the easiest healthcare job to get?
A healthcare job in the HMO sector that typically requires minimal formal education is a medical receptionist or administrative assistant, which often only needs a high school diploma and basic computer skills. These roles usually have lower entry barriers and may offer on-the-job training, making them easier to obtain compared to clinical positions that require certifications or degrees.
What is the job description of a HMO personnel?
A HMO personnel is responsible for managing health maintenance organization operations, including member services, claims processing, provider network coordination, and ensuring compliance with healthcare regulations. They often handle member inquiries, maintain records, and support administrative functions within the organization.
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:
$19.80 - $31.25/hr
Full-time
Posted 24 days ago
University Of Nevada (Reno) rating
8.1
Based on 16 frontline employees who took The Breakroom Quiz
134th of 544 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.
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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