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Refund Analyst- East/Mill
Universal Health Services, Inc.
-
Richmond, VA
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the
Email Job
Posted 14 days ago
Claims Associate
Lippert Components
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Mishawaka, IN
/Objective We are looking for customer service focused individuals to build a rewarding long term career with us as a Claims Associate. Our objective is to return our customers to a pre loss condition of their specialty product while providing a high level of customer service. We are responsible for processing and approving claims for our Insurance customers at a fair and
Email Job
Posted 30 days ago
Injury Biomechanist
Leidos Inc
-
San Diego, CA
Load, process, and summarize various data types and files using MATLAB or similar program. Further organize, clean, sort, and analyze data using SPSS, R, SAS, or related data analysis programs and interpret meaningful findings in tables, graphs, and written form. Conduct casualty assessment using currently available high rate blast data and published computational models.
Email Job
Posted 1 day ago
Senior Transformation consultant
FIS
-
Jacksonville, FL / New York, NY
JOB DESCRIPTION Position Type Full time Type Of Hire Experienced (relevant combo of work and education) Travel Percentage 1 5% FIS is a leading provider of technology solutions for merchants, banks and capital markets firms globally. FIS stays ahead of how the world is evolving to power businesses in today's fast changing competitive landscape and help our clients run, gr
Email Job
Posted 2 days ago
Supervisor Coding - Remote near Minneapolis, MN
Optum
-
Minneapolis, MN
Ensures functions performed in accordance with system wide policies, procedures, and governing organizations Defines individual and team goals Monitors staff and department performance and productivity levels and proposes ways to improve effectiveness, efficiency, and productivity Analyzes and identifies problem areas and adjust processes and staffing priorities Collabora
Email Job
Posted 1 day ago
Charge Data Specialist
Children's National Medical Center
-
Silver Spring, MD
The Charge Data Specialist is responsible to complete the services of charges posted for areas of Children's National Health System. The Charge Data Specialist provides financial analysis, guidance, and advice to management consistent with standard charge posting practices. The Charge Data Specialist will ensure accurate and timely charge capture and quality assurance pro
Email Job
Posted 1 month ago
Claims Specialist - Claims Processing
Providence
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Mission Hills, CA
Responsible for processing medical claims. Resolves complex, difficult or non routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or non routine incoming and o
Email Job
Posted 6 days ago
Reimbursement Specialist I - COPES
Family & Children's Services
-
Tulsa, OK
Competitive Pay! Overflowing benefit package 33 Paid days off 1st year! Responsible for ensuring optimal and timely reimbursement by maintaining accurate client eligibility information and resolving errors before claims are filed. Work closely with the COPES clinicians to improve processes, efficiencies, and productivity. Generate and complete assigned reports, adhering t
Email Job
Posted 1 month ago
Claims Quality Analyst
MetroPlus Health Plan
-
New York, NY
Claims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit configuration, compliance with provider contract agreements, and Federal, State a
Email Job
Posted Today
Medical Insurance Verification Specialist
Advantage Resourcing
-
Lafayette, LA
Advantage Resourcing is seeking a dedicated Medical Insurance Verification Specialist to join our team in Lafayette, LA. Take the next step in your career with a leading healthcare company and embark on an exciting journey today! Pay $15 per hour Hours Monday Friday, 8 AM 5 PM As a Medical Insurance Verification Specialist, you'll play a crucial role in ensuring Medicaid
Email Job
Posted 30 days ago
Case Management - Nurse, Senior
Blue Shield of CA
-
El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination o
Email Job
Posted 1 day ago
Claims Supervisor
MetroPlus Health Plan
-
New York, NY
The Claims Supervisor is responsible for the daily oversight of claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance testing and quality assurance, training, and reporting. In addition, the position assists the claims manager with claims related queue management (i.e. claims, inquiries, refunds, adjudicati
Email Job
Posted 1 month ago
Senior Claims Insurance Manager - Medical Professional Liability Claims *Remote*
Providence
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Houston, TX / Billings, MT / Portland, OR / 5 more...
Providence caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence is calling a Senior Claims Insurance Manager Medical Profe
Email Job
Posted 12 days ago
Claims User Acceptance Tester
MetroPlus Health Plan
-
New York, NY
The Claims User Acceptance Tester (UAT) will be responsible for validating whether all the business requirements have been fulfilled before releasing the actual product to production. The individual will perform positive and negative testing to identify and ensure any defects found are corrected prior to implementation. The Claims UAT will develop and follow a test plan w
Email Job
Posted 1 month ago
Reimbursement Specialist
Family & Children's Services
-
Tulsa, OK
Responsible for ensuring optimal and timely reimbursement by maintaining accurate client eligibility information, resolving errors before claims are filed, and following up on claims, denials, payer correspondence, and authorizations. Work closely with the Reimbursement Supervisor to improve processes, efficiencies, and productivity. Requirements Requires High School dipl
Email Job
Posted 30 days ago
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