Claims Processing Jobs in Oregon
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Search Results - Claims Processing Jobs in Oregon
Cambia Health Solutions, Inc-Portland
performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company guidelines.
What You Bring to Cambia:
Qualifications:
• Bachelor's degree (Preferred)
• 3 years of experience related to claims processing...
msysinc-Remote
Resource will provide medical claims and payor data (eligibility, medical, vision, lab, pharmacy) Extract, Transform and Load (ETL) services using Structured Query Language (SQL) to (1) migrate Claims processing from the Countys custom schema to Epic...
jobvertise.com -
Remote
Overview:
Position Overview:
We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate...
icims.com -
Remote
using generative AI technologies, preferred
• Familiar with AI applications in the insurance industry, such as document analysis, claims processing or underwriting, preferred
• Proficient in ML frameworks such as PyTorch, TensorFlow or Keras
• Experience...
patracorp.com -
Remote
environment.
• Effective at managing timelines and multiple projects with high accuracy and attention to detail.
• Provide coding, claims processing, and industry expertise to help create clinical coding policy or pharmacy claims editing policy.
• Responsible...
icims.com -
Remote
knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to the analysis and resolution of very complex or sensitive claims...
tiptopjob.com -
CCHN-Remote
Provider Experience Claims Manager
Office Locations: Durham, Wilmington and Charlotte, NC / Homebased position
Position Purpose:
The Claims Manager is responsible for understanding the processing, analysis and resolution of health insurance claims...
trinethire.com -
Portland
experience in a medical office and/or medical billing setting, including high-volume direct patient contact, scheduling and/or registration, claims processing, and/or managed care authorizations; OR one year of work experience in a high volume direct public...
icims.com -
Puget Collision-Eugene
the phone professionally and respond to all voice mails same day, addressing customer inquiries with the appropriate shop team members. Inform customer of repair process, insurance claim processing, payment procedures, repair techniques, and expected...
tiptopjob.com -
2 similar jobs: Portland, Salem
Remote
relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information
• 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
A minimum of 7 years of health care industry experience with a health plan or vendors of data analytics or claims processing technologies.
• A minimum of 5 years of successful client/program management.
• A minimum of 3-5 years of experience in Risk...
icims.com -
Remote
to compare patient’s current level of care with industry standards.
• Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health; create an individual care plan for each patient; provide close follow...
icims.com -
Remote
and certification of team to maintain best practice knowledge, client intimacy and claims processing proficiency.
• Respond/and/or Coordinate response to PPO inquiries as received from Team/Network
• Secondary review for high dollar audits as per the High Dollar...
icims.com -
Remote
billing, coding, claims processing, and reimbursement methodologies in healthcare
• Experience supporting the integrating of PFM with other third party systems like accounting, or payer systems
• Experience creating financial and operational reports using...
icims.com -
Remote
customer and agent experiences during shopping, quoting, servicing, and claims processing. They also enable our users to create, modify, and underwrite our insurance products.
State specific pay scales for this role are as follows:
$89,906.08...
icims.com -
12
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