Claims Processing Jobs in Oregon
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Search Results - Claims Processing Jobs in Oregon
Robert Half-Portland
verification, and claims processing
• Perform general office tasks such as filing, faxing, and scanning documents
• Ensure compliance with confidentiality and healthcare regulations
Required Skills/Qualifications:
• High school diploma or equivalent...
roberthalf.com -
Remote
of basic payer processes including provider contracting, claims processing and benefits administration
• Strong interpersonal and presentation skills and experience
• Strong communication skills
• Strong proposal writing skills and experience...
icims.com -
Remote
claims processing, or insurance domain (preferred)
Technical Requirements
• Proficiency in:
• C# and .NET/ASP.NET Framework
• SQL Server (complex queries, performance tuning, stored procedures)
• Clean architecture, design patterns, and SOLID principles...
enlyte.com -
Remote
Functions/Responsibilities/Duties
• Contact targeted member for health promotion and restoration by the use of national care guidelines to compare patient’s current level of care with industry standards.
• Use claims processing tools to review and research...
icims.com -
Remote
and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs.
• Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify...
icims.com -
Remote
processing tools to review and research paid claim data, developing comprehensive clinical picture of member's health status and needs.
Create individualized plans: Design and implement individual care plans for each patient while providing close follow-up...
icims.com -
Remote
for reviewing, analyzing, and processing healthcare claims to ensure accuracy, completeness, and compliance with policies and regulatory standards. They will have a strong understanding of health insurance guidelines and demonstrated experience working across...
icims.com -
Remote
Experience in pharmacy contracting, insurance, or other business-related environment. Basic knowledge of contracts, third party insurance, and claims processing is preferred.
Knowledge, Skills, and Abilities:
• Proficiency in Microsoft Word, Excel, Outlook...
icims.com -
Remote
High proficiency in multiple HealthRules Payor components including but not limited to Pricing, Benefits, Claims, Utilization Management.
• Minimum of 10 years total experience in healthcare claims processing or health plan operations
• Proficiency...
icims.com -
Remote
Payor, a claims processing system
• Must have experience in implementing one or more line of business – Medicare, Medicaid, and/or Commercial, Self-funded etc.
• Experience working in an offshore model is required
• Demonstrate strong analytical...
icims.com -
Remote
Performance Oversight:
• Report EDI transaction success rates, rejections, and turnaround times.
• Define and manage KPIs such as first-pass claim acceptance rate, EDI rejection rate, and processing time.
• Work closely with internal teams to streamline...
icims.com -
Remote
roadmap, and ensuring high-quality delivery in alignment with customer and business needs.
The Product
With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing...
icims.com -
Remote
in Healthcare Technology?
We're seeking an early-career data professional who can support development and maintenance of data systems used in healthcare and TPA claims processing. As our Data Engineer, you'll assist with building and troubleshooting data...
icims.com -
Remote
field
• Prior experience in customer service and/or medical background
• Prior insurance and/or claims background preferred
• Experience in medical front office, hospital patient intake, medical claims processing, or equivalent combination of education...
icims.com -
Remote
of experience in product management, business analysis, or Agile product delivery
• Familiarity with healthcare or healthtech domains, ideally in payer systems or claims processing
• Familiarity with cloud platforms (AWS, Azure, GCP) and cloud-native...
icims.com -
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